Provider Demographics
NPI:1306938931
Name:FRANGA, DION L (MD)
Entity type:Individual
Prefix:DR
First Name:DION
Middle Name:L
Last Name:FRANGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3045 ST MATTHEWS RD
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29118
Mailing Address - Country:US
Mailing Address - Phone:803-747-7242
Mailing Address - Fax:803-747-7243
Practice Address - Street 1:3045 ST MATTHEWS RD
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29118-8201
Practice Address - Country:US
Practice Address - Phone:803-747-7242
Practice Address - Fax:803-747-7243
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23281202K00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No202K00000XAllopathic & Osteopathic PhysiciansPhlebology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC23281GP3421Medicaid
SC23281GP3421Medicaid
SCAA44355774Medicare PIN
H573847275Medicare PIN