Individual
DR. PATRICK KERRY DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1005 E CHEVES ST, FLORENCE, SC 29506-2707
(843) 777-7900
(843) 777-7925
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7092
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
22677
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
22677
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89064PT
N.C. MEDICAID
—
05
—
T66112
—
SC
Enumeration date
07/29/2005
Last updated
02/01/2021
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