Individual
DR. DEWEY NELSON ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 E CHEVES ST, SUITE 100, FLORENCE, SC 29506-2716
(843) 662-5233
(843) 678-9003
Mailing address
901 E CHEVES ST, SUITE 100, FLORENCE, SC 29506-2716
(843) 662-5233
(843) 678-9003
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6970
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069703
—
SC
01
—
890575P
N.C. MEDICAID
—
Enumeration date
07/29/2005
Last updated
07/09/2007
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