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1699038505

NPI Code Detail

MEDICARE: DIEGO ALEJANDRO LIM MD

MEDICARE: DIEGO ALEJANDRO LIM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	82015	SC
2	207R00000X	Internal Medicine Physician	0438102	KS
3	207RG0100X	Gastroenterology Physician	82015	SC
4	207RG0100X	Gastroenterology Physician	036178228	IL
5	207RG0100X	Gastroenterology Physician	2021027483	MO

General Provider Information

NPI Number	:	1699038505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIEGO ALEJANDRO LIM MD

Provider Business Mailing Address
First Line	:	1 INDEPENDENCE PT STE 212
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-4536
Country	:	US
Telephone Number	:	864-797-6311
Fax Number	:

Provider Business Practice Location Address
First Line	:	890 W FARIS RD STE 100
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29605-4285
Country	:	US
Telephone Number	:	913-588-6005
Fax Number	:	913-588-3877

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2012
Last Update Date	:	02/23/2026

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Directions to “ DIEGO ALEJANDRO LIM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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