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Individual

ERVIN DELMAR PREWETTE II

Active
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Individual

ERVIN DELMAR PREWETTE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24295
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3335
MEDICARE
SC
05
421504
SC
Enumeration date
08/13/2006
Last updated
09/26/2025
Update your record

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