Individual
PETER C DEVITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7173
(843) 571-2350
(843) 571-2351
Mailing address
1050 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7173
(843) 571-2350
(843) 571-2351
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
6164
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061649
—
SC
Enumeration date
07/20/2006
Last updated
07/08/2007
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