Dollison, Clarence Joseph

Dollison, Clarence Joseph is an individual health care provider with primary practice located at 2712 Middleburg Dr Suite 101, Columbia SC 29204-2415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dollison, Clarence Joseph can be contacted via phone (803) 254-4257.

Contact Information

Primary practice address
2712 Middleburg Dr Suite 101 Columbia SC 29204-2415
Phone: (803) 254-4257
Fax: (803) 252-7334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 08009 South Carolina

Profile Details

NPI number 1184654345
LBN Legal business name Dollison, Clarence Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Jul 16th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184654345 NPPES
South Carolina MEDICAID 080094

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