MEDICARE: DAVID DEATON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	51943	SC
2	2086S0129X	Vascular Surgery Physician	33799	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023000858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID DEATON

Provider Business Mailing Address
First Line	:	PO BOX 418283
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-8283
Country	:	US
Telephone Number	:	703-558-1544
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 MEDICAL PARK RD STE 300
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29203-6839
Country	:	US
Telephone Number	:	803-545-5800
Fax Number	:	803-254-0821

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	04/06/2018

Similar Medicare Providers

1265116859 — ALAINA SUMNER
Practice Location Address:

2 MEDICAL PARK RD STE 300
COLUMBIA, SC
29203-6839

Practice Phone: 803-434-8800
Practice Fax: 803-434-8802

1811104961 — DR. SHERRI KEARISE TAYLOR M.D.
Practice Location Address:

2 MEDICAL PARK ROAD LL9/10
COLUMBIA, SC
29203-6839

Practice Phone: 803-545-5700
Practice Fax: 803-434-6642

1629042049 — NANCY WENDY HENDRIX MD
Practice Location Address:

2 MEDICAL PARK RD STE 107
COLUMBIA, SC
29203-6839

Practice Phone: 803-434-4480
Practice Fax: 803-434-3340

1396731790 — DR. LAWRENCE A ROBILLARD MD
Practice Location Address:

2 MEDICAL PARK RD STE 107
COLUMBIA, SC
29203-6839

Practice Phone: 803-434-4480
Practice Fax: 803-434-3340

1932199684 — DR. KENDREIA DICKENS-CARR M.D.
Practice Location Address:

2 MEDICAL PARK RD STE 107
COLUMBIA, SC
29203-6839

Practice Phone: 803-434-4480
Practice Fax: 803-434-3340

1083680946 — DR. H VICTOR MURDAUGH M.D.
Practice Location Address:

2 MEDICAL PARK RD , SUITE 501
COLUMBIA, SC
29203-6839

Practice Phone: 803-540-1000
Practice Fax: 803-255-3451

Directions to “ DAVID DEATON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.