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Jonathan L Dieter JR., MD
Family Medicine Physician in Conway, South Carolina
NPI 1205987419

Jonathan L Dieter JR. is a Family Medicine Physician based in Conway, SC. Jonathan L Dieter JR. practices in Conway, SC and has the professional credentials of MD. The NPI Number for Jonathan L Dieter JR. is 1205987419 and holds a License No. 7055 (South Carolina).

The current practice location address for Jonathan L Dieter JR. is 8014 Myrtle Trace Dr, Conway, SC and can be reached out via phone at 843-347-7224 and via fax at 843-347-7335.

Location: 8014 Myrtle Trace Dr, Conway, SC, 29526-8945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205987419
Provider Name
Jonathan L Dieter JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8014 Myrtle Trace Dr, Conway, SC, 29526-8945
Phone Number
843-347-7224
Fax Number
843-347-7335
Provider Enumeration Date
01/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PC4269 05 SC
institution
Provider Business Practice Location Address Details
Address
8014 Myrtle Trace Dr
City
Conway
State
South Carolina
Zip
29526-8945
Phone Number
843-347-7224
Fax Number
843-347-7335
person
Provider Business Mailing Address Details
Address
8014 Myrtle Trace Dr
City
Conway
State
South Carolina
Zip
29526-8945
Phone Number
843-347-7224
Fax Number
843-347-7335
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
7055 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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