Mijalli, Mamdouh N
Mijalli, Mamdouh N is an sole proprietor health care provider with primary practice located at 705 N 8Th Ave Suite 2B, Dillon SC 29536-2549. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mijalli, Mamdouh N can be contacted via phone (843) 841-3846.Contact Information
Primary practice address
705 N 8Th Ave Suite 2B
Dillon SC 29536-2549
Phone: (843) 841-3846
Fax: (843) 841-3848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 29714 | South Carolina |
Profile Details
| NPI number | 1265507149 |
|---|---|
| LBN Legal business name | Mijalli, Mamdouh N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 23rd, 2006 |
| Last updated | Feb 22nd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265507149 | NPPES |
| South Carolina | MEDICAID | 297146 |
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