Individual
DR. AMY REBMAN DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2713 DANTZLER DR, NORTH CHARLESTON, SC 29406-9005
(843) 764-1722
(843) 764-1788
Mailing address
2713 DANTZLER DR, NORTH CHARLESTON, SC 29406-9005
(843) 764-1722
(843) 764-1788
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24435
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-24435
DHEC
SC
01
—
24435
BOARD OF MEDICAL EXAMINER
SC
Enumeration date
07/21/2005
Last updated
07/26/2013
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