Provider Demographics
NPI:1801855614
Name:DEVINE, DENISE H (MD)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:H
Last Name:DEVINE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4480 LEEDS PL W
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-8402
Mailing Address - Country:US
Mailing Address - Phone:843-740-6700
Mailing Address - Fax:843-745-9428
Practice Address - Street 1:1027 PHYSICIANS DR STE 110
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5351
Practice Address - Country:US
Practice Address - Phone:843-740-6700
Practice Address - Fax:843-745-9428
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2021-03-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC19494207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology