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Individual

WAYNE HOLT DENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 585-0366
Mailing address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 585-0366

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
86861
SC
2084P0800X
Psychiatry Physician
M2601
TX
2084P0800X
Psychiatry Physician
ME108940
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005488200
FL
05
176916801
TX
Enumeration date
04/26/2006
Last updated
04/26/2022
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