person
Dr. Dewey Todd Detar, DO
Family Medicine Physician in Summerville, South Carolina
NPI 1750499604

Dewey Todd Detar is a Family Medicine Physician based in Atlanta, SC. Dewey Todd Detar practices in Summerville, SC and has the professional credentials of DO. The NPI Number for Dewey Todd Detar is 1750499604 and holds a License No. 2020-00089 (South Carolina).

The current practice location address for Dewey Todd Detar is 1595 Central Ave, Summerville, SC and can be reached out via phone at 843-212-8080 and via fax at 843-789-1521. You can also correspond with Dewey Todd Detar through the mailing address at PO BOX 743070, ATLANTA, GA - 30374-3070 (mailing address contact number: 864-560-4304).

Location: 1595 Central Ave, Summerville, SC, 30374-3070
person
Provider Profile Details
NPI Number
1750499604
Provider Name
Dewey Todd Detar
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1595 Central Ave, Summerville, SC, 30374-3070
Phone Number
843-212-8080
Fax Number
843-789-1521
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004836 05 SC
SC14336067 01 SC MEDICARE PIN
SC14336084 01 SC MEDICARE PIN
SC1433J577 01 SC MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
1595 Central Ave
City
State
Zip
29483-5529
Phone Number
843-212-8080
Fax Number
843-789-1521
person
Provider Business Mailing Address Details
Address
1595 Central Ave
City
State
Zip
29483-5529
Phone Number
843-212-8080
Fax Number
843-789-1521
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
2020-00089 (North 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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