Individual
DR. WARREN KEITH DEPONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
701 GROVE RD STE 200, GREENVILLE, SC 29605-4210
(864) 558-9884
(864) 455-8981
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8614
(260) 373-8034
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
03768
KY
2084P0804X
Child & Adolescent Psychiatry Physician
03768
KY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
82275
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822756
—
SC
Enumeration date
05/23/2011
Last updated
05/10/2021
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