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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DEWEY TODD DETAR, DO

Active

DR. DEWEY TODD DETAR, DO is a Family Medicine healthcare provider located in SUMMERVILLE, South Carolina. NPI 1750499604 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SUMMERVILLE, SC

Registration Details

NPI Number
1750499604
Provider Type
Individual
Gender
Male
NPI Issued
Aug 29, 2006 (19.971819491278 yrs)
Last Updated
Jun 9, 2021
Licenses
2020-00089 (NC)
483 (SC)

Practice Information

Address
1595 CENTRAL AVE
SUMMERVILLE, SC, 294835529
Browse SC providers · Browse ZIP 29483
Phone
8432128080
Fax
8437891521
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in SUMMERVILLE, SC

Name Credential NPI
SILVESTRO J LIJOI D.O. 1780679118
CLAUDIUS STUART DAWSON III M.D. 1780675306
CLARENCE WILLIAM WIMBERLY JR. MD 1932190139
BONNIE L. CRICKMAN MD 1740261726
OTIS EDWARD ENGELMAN MD 1730145509
SKYE NICOLE DEBERRY MD 1710943584
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.