| James Louis Dedonis, MD | |
| 
					2835 E Highway 76 Ste 5, Mullins, SC 29574-6038  | |
| (843) 431-2171 | |
| (843) 431-2999 | 
| Full Name | James Louis Dedonis | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Cardiovascular Disease | 
| Location | 2835 E Highway 76 Ste 5, Mullins, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073536744 | NPI | - | NPPES | 
| GP0965 | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 20887 (South Carolina) | Primary | 
| Entity Name | Carolina Family Care Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627  | 
| Mailing Address | Practice Location Address | 
|---|---|
| James Louis Dedonis, MD 2835 E Highway 76 Ste 5, Mullins, SC 29574-6038 Ph: (843) 431-2171  | James Louis Dedonis, MD 2835 E Highway 76 Ste 5, Mullins, SC 29574-6038 Ph: (843) 431-2171  | 
Okechukwu Dimkpa, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2829 E Highway 76, Mullins, SC 29574 Phone: 843-431-2000  | |
Mr. Daniel K. Ng, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2835 E Highway 76 Ste 5, Mullins, SC 29574 Phone: 843-431-2171  | |
Solomon Jan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2829 E Highway 76, Mullins, SC 29574 Phone: 843-431-2000  | |
Dr. Parmanand Dawani, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 230 S Main St, Mullins, SC 29574 Phone: 843-464-8750 Fax: 843-464-0938  | |
Gangatharan Mathisuthan, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 511 S Main St, Mullins, SC 29574 Phone: 843-464-8244 Fax: 843-464-6519  |