JONATHAN L DIETER

CONWAY, SC
NPI1205987419
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  7055)
Enumeration Date2007-01-15
Last Update Date2007-10-10
Business Address
-- JONATHAN L DIETER MD
8014 MYRTLE TRACE DR
CONWAY, SC 29526-8945
Phone number: 843-347-7224
Mailing Address
-- JONATHAN L DIETER MD
8014 MYRTLE TRACE DR
CONWAY, SC 29526-8945
Phone number: 843-347-7224
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