Provider Demographics
NPI:1679573737
Name:DUNLAP, JOSEPH WITHERSPOON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:WITHERSPOON
Last Name:DUNLAP
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:901 E CHEVES ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-2716
Mailing Address - Country:US
Mailing Address - Phone:843-662-5233
Mailing Address - Fax:843-678-9003
Practice Address - Street 1:901 E CHEVES ST
Practice Address - Street 2:SUITE 100
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2716
Practice Address - Country:US
Practice Address - Phone:843-662-5233
Practice Address - Fax:843-678-9003
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC9502207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC095024Medicaid
SCC60545Medicare UPIN
SCC605451271Medicare ID - Type UnspecifiedMEDICARE