| Dillon Family Medicine, P.a. | |
|
603 N 6th Ave Dillon SC 29536-2503 | |
| (843) 774-7336 | |
| (843) 774-5656 |
| Full Name | Dillon Family Medicine, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 603 N 6th Ave, Dillon, South Carolina |
| Authorized Official Name and Position | Michael N Brown (VICE PRESIDENT) |
| Authorized Official Contact | 8437747336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dillon Family Medicine, P.a. 603 N 6th Ave P O Box 1069 Dillon SC 29536-2503 Ph: (843) 774-7336 | Dillon Family Medicine, P.a. 603 N 6th Ave Dillon SC 29536-2503 Ph: (843) 774-7336 |
| NPI Number | 1629057401 |
|---|---|
| Provider Enumeration Date | 01/11/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 1254336381 |
|---|---|
| Medicare Enrollment ID | O20060925000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629057401 | NPI | - | NPPES |
| PA294-2 | Medicaid | SC | |
| CB3397 | Other | SC | RAILROAD MEDICARE |
| 8901432 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8827 (South Carolina) | Primary |
| Provider Name | Teresa G Dietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538121991 PECOS PAC ID: 9638075153 Enrollment ID: I20031208000349 |
| Provider Name | Michael N Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497775670 PECOS PAC ID: 3971508011 Enrollment ID: I20100820000991 |
| Provider Name | Paul Duane Freel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528088721 PECOS PAC ID: 0941316020 Enrollment ID: I20101014000442 |
| Provider Name | Robin C Shealy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154347540 PECOS PAC ID: 4082818687 Enrollment ID: I20110119000443 |
| Provider Name | Timothy A Fitzgibbon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467473801 PECOS PAC ID: 1658588124 Enrollment ID: I20110119000511 |
| Provider Name | Stephen G Vance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154341345 PECOS PAC ID: 9638283963 Enrollment ID: I20110119000625 |
| Provider Name | David Matthew Braddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104264928 PECOS PAC ID: 3678799293 Enrollment ID: I20140716002729 |
| Provider Name | Nardin Nabil Khalil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386932838 PECOS PAC ID: 4587882378 Enrollment ID: I20140819002411 |
| Provider Name | Orran Coretta Bethea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295961985 PECOS PAC ID: 8123390820 Enrollment ID: I20170815003577 |
| Provider Name | Loryn J Britt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720588841 PECOS PAC ID: 7416209697 Enrollment ID: I20181017000125 |
Mcleod Dillon Family Medicine 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 | |
Dillon Internal Medicine Associates Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 N 8th Ave, Suite 1a, Dillon, SC 29536 Phone: 843-774-2478 Fax: 843-774-0293 | |
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 |