Individual
CARA DETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2376 CYPRESS CIR, STE 200, CONWAY, SC 29526-8994
(843) 347-7216
(843) 347-7218
Mailing address
300 SINGLETON RIDGE RD, ATTN PATIENT ACCOUNTING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
94703
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
947033
—
SC
Enumeration date
04/20/2021
Last updated
10/28/2025
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