Individual provider · Type 1 NPI

Cole Dattel

Family Medicine Physician · Conway, SC

NPI number 1104629534 Active

Practice location

300 Singleton Ridge Rd
Conway, SC 29526-9142

Call (843) 347-7111 Map

Mailing address

2526 Annie Baxter Ave
Joplin, MO 64804-0333

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X97317 (SC)
Student in an Organized Health Care Education/Training Program 390200000X97317 (SC)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1104629534

Cole Dattel's National Provider Identifier is 1104629534, issued on Mar 31, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Conway, SC. The record was last updated on Aug 27, 2026.