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

DR. ROBERT L. DETERS, MD

Active

DR. ROBERT L. DETERS, MD is a Interventional Vascular Surgery healthcare provider located in WEST COLUMBIA, South Carolina. NPI 1942294004 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · WEST COLUMBIA, SC

Registration Details

NPI Number
1942294004
Provider Type
Individual
Gender
Male
NPI Issued
Sep 6, 2005 (20.913917802154 yrs)
Last Updated
Oct 27, 2020
Licenses
78809 (MA)
11526 (NH)
78809 (MA)
81664 (SC)

Practice Information

Address
222 EAST MEDICAL LANE
SUITE 200
WEST COLUMBIA, SC, 291694801
Browse SC providers · Browse ZIP 29169
Phone
8039358410
Fax
8039367816
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Additional Specialty
Pain Medicine (PM&R)
Additional Specialty
Pain Medicine (PM&R)

Other Interventional Vascular Surgery Providers in WEST COLUMBIA, SC

Name Credential NPI
DR. IVA THIGPEN CHAPPLE M.D. 1720047202
KENNETH RUSSELL GROSSLIGHT MD JD 1194770115
CHRISTOPHER A BEAL DO 1992115935
JIALIU DAVID LI M.D. 1174059182
RUSSELL BINGHAM PA-C 1275270654
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.