Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan L Dieter Jr., MD

Individual provider Family Medicine Physician · NPI 1205987419

Jonathan L Dieter Jr., MD is a Family Medicine Physician in Conway, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8014 Myrtle Trace Dr
Conway, SC 29526-8945
Phone: (843) 347-7224
Fax: (843) 347-7335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 7055 (SC)

Record details

NPI number1205987419
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 15, 2007
Last updated in NPPESOctober 10, 2007

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