| Dillon Internal Medicine Associates Pa | |
|
705 N 8th Ave Suite 1a Dillon SC 29536-2549 | |
| (843) 774-2478 | |
| (843) 774-0293 |
| Full Name | Dillon Internal Medicine Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 705 N 8th Ave, Dillon, South Carolina |
| Authorized Official Name and Position | James P Wallace (PRESIDENT) |
| Authorized Official Contact | 8437742478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dillon Internal Medicine Associates Pa 705 N 8th Ave Ste 1a Dillon SC 29536-2549 Ph: (843) 774-2478 | Dillon Internal Medicine Associates Pa 705 N 8th Ave Suite 1a Dillon SC 29536-2549 Ph: (843) 774-2478 |
| NPI Number | 1124115886 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 09/25/2024 |
| Medicare PECOS PAC ID | 5991617995 |
|---|---|
| Medicare Enrollment ID | O20040607000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124115886 | NPI | - | NPPES |
| 7901443 | Medicaid | NC | |
| PA8526 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (South Carolina) | Primary |
| Provider Name | Alto B Odin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558447185 PECOS PAC ID: 2264596139 Enrollment ID: I20090122000207 |
| Provider Name | James J Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730260480 PECOS PAC ID: 1254461254 Enrollment ID: I20100618000230 |
| Provider Name | James P Wallace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487741146 PECOS PAC ID: 8628980620 Enrollment ID: I20100817000423 |
| Provider Name | James Wallace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265695126 PECOS PAC ID: 1759550361 Enrollment ID: I20110816000051 |
| Provider Name | Caren C Arnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912163064 PECOS PAC ID: 7214152271 Enrollment ID: I20140707001320 |
| Provider Name | Kelley W Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952721672 PECOS PAC ID: 1052532546 Enrollment ID: I20141027001649 |
| Provider Name | Holly H Rowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588173579 PECOS PAC ID: 0143588657 Enrollment ID: I20171211000591 |
| Provider Name | Loryn J Britt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720588841 PECOS PAC ID: 7416209697 Enrollment ID: I20181017000125 |
| Provider Name | Morgan T Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790370740 PECOS PAC ID: 0547677320 Enrollment ID: I20210323000220 |
| Provider Name | Victoria Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972200442 PECOS PAC ID: 6204200447 Enrollment ID: I20230329002789 |
Mcleod Physician Associates Ii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 N 6th Ave, Dillon, SC 29536 Phone: 843-774-7336 Fax: 843-774-3745 | |
Quad/med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 224a Harbor Freight Rd, Dillon, SC 29536 Phone: 843-708-4824 | |
Physicians Healthcare Of Dillon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1639 Highway 301 N, Dillon, SC 29536 Phone: 843-774-5182 | |
Caresouth Carolina, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1016 Old Latta Hwy, Dillon, SC 29536 Phone: 843-774-4337 | |
Caresouth Carolina Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1719 Commerce Drive, Dillon, SC 29536 Phone: 843-774-6591 | |
Dillon Family Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 N 6th Ave, Dillon, SC 29536 Phone: 843-774-7336 Fax: 843-774-3745 |