Individual
JOHN FREDRIC DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1068 N FRASER ST, GEORGETOWN, SC 29440-2849
(843) 545-7200
(843) 545-5742
Mailing address
4416 FOREST DR, 2ND FLOOR, COLUMBIA, SC 29206-3104
(803) 782-4278
(803) 782-3445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11325
SC
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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