Individual
DR. THEODORE EUGENE KALUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1346 HAILE STREET, CAMDEN, SC 29020
(803) 432-1931
(803) 432-1176
Mailing address
1346 HAILE STREET, CAMDEN, SC 29020
(803) 432-1931
(803) 432-1176
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8535
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085357
—
SC
Enumeration date
02/09/2006
Last updated
01/25/2013
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