Individual
DAVID MERRILL DATWYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 SKYLYN DR, SPARTANBURG, SC 29307-1041
(864) 573-3000
Mailing address
120 NOB HILL RD, SPARTANBURG, SC 29307-3509
(864) 879-9338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN961
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0639
—
SC
Enumeration date
07/31/2006
Last updated
10/16/2007
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