Individual
JOHN PAUL DEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6019
(843) 664-3301
(843) 664-3723
Mailing address
PO BOX 10925, KNOXVILLE, TN 37939-0925
(865) 766-8800
(865) 450-9374
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN639
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0162
—
SC
Enumeration date
07/17/2006
Last updated
06/07/2022
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