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Contact Information

DOLI E BIONDILLO, MD
3617 CASEY ST
SUITE C
LORIS, SC29569-2981
 Phone: 843-716-7911
 Fax: 843-716-7918
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DOLI E BIONDILLO · (Female)

NPI Number 1275534307
Status Active
Credentials MD
Entity Individual
Enumeration date 08/10/2005
Last updated 02/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 36148
  • SC Medicaid 361487
  • SC Other 5751014 AETNA
  • SC Other 2050741 CIGNA
  • SC Other 267902 MEDCOST
  • SC Other SC14298552 MEDICARE PTAN
  • SC Other P01218899 RAILROAD MEDICARE
  • SC Other 30155455 SELECT HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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