IndividualActive
Jeffrey Dietrich, MD
NPI 1528049780 · Allergy & Immunology Physician · Charleston, SC
Provider details
- NPI number
- 1528049780
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD32410 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
46 Markfield Dr Ste a
Charleston, SC 29407-6982
Phone: (843) 556-7048
Fax: (843) 556-2938
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 603725
Charlotte, NC 28260-3725
Additional practice locations (1)
- 180 Wingo WaySuite 102Mt Pleasant, SC 29464-1810Phone: (843) 881-2030Fax: (843) 881-6249
Registry dates
- Enumerated
- 2005-11-07
- Last updated
- 2023-10-19
- Certified
- 2023-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.