DAVID DEATON
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1023000858- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2 MEDICAL PARK RD STE 300, COLUMBIA, SC, 292036839
- Phone
- (803) 545-5800
- Fax
- (803) 254-0821
Specialties & Taxonomies
Unknown
License: SC #51943
Unknown
Primary License: DC #33799