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 |
Entity Name | Carolinas Medical Alliance Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023238490 PECOS PAC ID: 9739096769 Enrollment ID: O20050201000341 |
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 |