Healthcare Provider Details

I. General information

NPI: 1326007170
Provider Name (Legal Business Name): ALISON E DILLON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 10/27/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 LEONARD FULGHUM DR STE 201
MOUNT PLEASANT SC
29464-3793
US

IV. Provider business mailing address

1280 HOSPITAL DR
MOUNT PLEASANT SC
29464-1900
US

V. Phone/Fax

Practice location:
  • Phone: 843-884-5133
  • Fax: 843-849-3343
Mailing address:
  • Phone: 843-883-1007
  • Fax: 843-883-1016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number16121
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number16121
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: