Provider Demographics
NPI:1477448785
Name:TONEY, DISHEKA S
Entity type:Individual
Prefix:
First Name:DISHEKA
Middle Name:S
Last Name:TONEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 GERVAIS ST # 211
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-3415
Mailing Address - Country:US
Mailing Address - Phone:803-457-1501
Mailing Address - Fax:
Practice Address - Street 1:1717 GERVAIS ST # 211
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3415
Practice Address - Country:US
Practice Address - Phone:803-457-1501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCIHCP-2512253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care