Doctor Name: | JAMES LOUIS DEDONIS |
NPI Number: | 1073536744 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 20887 |
Business Practice Address: | 2835 E Highway 76 Ste 5 Mullins, SC - 295746038 |
Business Phone Number: | 8434312171 |
Business Fax Number: | 8434312999 |
Mailing Address: | 2835 E Highway 76 Ste 5, MULLINS |
State: | SC |
Postal Code: | 295746038 |
Phone Number: | 8434312171 |
Fax Number: | 8434312999 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 09/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 20887 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |