Individual
DARRELL KEVIN TEGTMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
10160 DORCHESTER ROAD, SUMMERVILLE, SC 29485-8527
(843) 871-7900
Mailing address
613 BART BELLAMY LN, COTTAGEVILLE, SC 29435-3034
(843) 321-5927
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2822
SC
Other
Enumeration date
09/30/2005
Last updated
11/05/2024
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