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Individual

DR. JOHN HOWARD DEWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
33 VARDEN DRIVE, AIKEN, SC 29803
(803) 642-3801
(803) 642-5538
Mailing address
33 VARDEN DRIVE, AIKEN, SC 29803
(803) 642-3801
(803) 642-5538

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13334
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133340
SC
01
260027817
RR MEDICARE ID
SC
Enumeration date
10/04/2006
Last updated
04/30/2015
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