MEDICARE: DOLI ELIZABETH BIONDILLO 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	36148	SC
2	207RP1001X	Pulmonary Disease Physician	36148	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	SC14298552	OTHER	SC	MEDICARE PTAN
5	P01218899	OTHER	SC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5751014	OTHER	SC	AETNA
2	2050741	OTHER	SC	CIGNA
3	30155455	OTHER	SC	SELECT HEALTH
6	267902	OTHER	SC	MEDCOST
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275534307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOLI ELIZABETH BIONDILLO MD

Provider Business Mailing Address
First Line	:	PO BOX 3239
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29502-3239
Country	:	US
Telephone Number	:	843-777-7042
Fax Number	:	843-777-7102

Provider Business Practice Location Address
First Line	:	3617 CASEY ST
Second Line	:	SUITE C
City	:	LORIS
State	:	SC
Zip	:	29569-2981
Country	:	US
Telephone Number	:	843-716-7911
Fax Number	:	843-716-7918

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	02/01/2021

Similar Medicare Providers

1619933868 — NORTH STRAND OB/GYN, P.C.
Practice Location Address:

3617 CASEY ST , SUITE A
LORIS, SC
29569-2981

Practice Phone: 843-756-7090
Practice Fax: 843-756-0043

1366469397 — STRAND REGIONAL SPECIALTY
Practice Location Address:

3617 CASEY ST , SUITE D
LORIS, SC
29569-2981

Practice Phone: 834-756-9729
Practice Fax: 843-390-0038

1679665608 — CHRISTOPHER L PO MD
Practice Location Address:

3617 CASEY ST , SUITE C
LORIS, SC
29569-2981

Practice Phone: 843-716-7163
Practice Fax: 843-716-7918

1720547706 — DR. LILLIAN FONG MD
Practice Location Address:

3617 CASEY ST STE B
LORIS, SC
29569-2981

Practice Phone: 843-716-8300
Practice Fax: 843-716-9792

1467277566 — MACKENZIE JONES THOMPKINS
Practice Location Address:

3617 CASEY ST
LORIS, SC
29569-2981

Practice Phone: 843-756-3150
Practice Fax:

1942008685 — MCLEOD PHYSICIAN ASSOCIATES II
Practice Location Address:

3617 CASEY ST STE B
LORIS, SC
29569-2981

Practice Phone: 843-716-8300
Practice Fax: 843-716-9792

Directions to “ DOLI ELIZABETH BIONDILLO 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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.