Individual
DAVID DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 MEDICAL PARK RD STE 300, COLUMBIA, SC 29203-6839
(803) 545-5800
(803) 254-0821
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(703) 558-1544
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
33799
DC
2086S0129X
Vascular Surgery Physician
51943
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519433
—
SC
Enumeration date
08/18/2005
Last updated
04/06/2018
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