Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN L DIETER JR., MD
Active Sole ProprietorJONATHAN L DIETER JR., MD is a Family Medicine healthcare provider located in CONWAY, South Carolina. NPI 1205987419 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CONWAY, SC
Registration Details
- NPI Number
- 1205987419
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2007 (19.578858439097 yrs)
- Last Updated
- Oct 10, 2007
- License
-
7055 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8014 MYRTLE TRACE DRCONWAY, SC, 295268945Browse SC providers · Browse ZIP 29526
- Phone
- 8433477224
- Fax
- 8433477335
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CONWAY, SC
| Name | Credential | NPI |
|---|---|---|
| WINSTON MCIVER JR. | MD | 1386642189 |
| ARTUR WILKOSZEWSKI | MD | 1215920616 |
| DR. CHRISTIAN A. WHITTINGTON | M.D. | 1588628663 |
| CATHERINE A SCHAEFER | MD | 1457303992 |
| DR. SIENA SHIELDS ALFORD | DO | 1881648319 |
| MR. CHARLES PETER BUSSE | M.D. | 1477590594 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.