IndividualActive
Diedrich Waterman, MD
NPI 1598023376 · Gastroenterology Physician · Pawleys Island, SC
Provider details
- NPI number
- 1598023376
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD34481 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
116 Baskervill Dr
Pawleys Island, SC 29585-6185
Phone: (843) 237-2672
Fax: (843) 237-0369
Approximate (ZIP-level) locationGet directions
Mailing address
116 Baskervill Dr
Pawleys Island, SC 29585-6185
Registry dates
- Enumerated
- 2012-04-30
- Last updated
- 2012-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.