Individual
JOEL S DEKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1594 FREEDOM BLVD, STE 103, FLORENCE, SC 29505
(843) 662-2444
(843) 662-2445
Mailing address
1594 FREEDOM BLVD, STE 103, FLORENCE, SC 29505
(843) 662-2444
(843) 662-2445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05178
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051785
—
SC
Enumeration date
07/10/2006
Last updated
07/08/2007
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