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DOLORES YVONNE TETREAULT MD
NPI 1639115066
Internal Medicine - Geriatric Medicine in Charleston, SC

Active since June 22, 2006
27 GAMECOCK AVE, STE 201, CHARLESTON, SC 29407(843) 769-8215(843) 769-8216 Get Directions Write a Review

NPPES record last updated: November 7, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dolores Yvonne Tetreault Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOLORES YVONNE TETREAULT MD (NPI 1639115066) is an individual geriatric medicine provider in Charleston, South Carolina, licensed in South Carolina (33970) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1639115066
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameDOLORES YVONNE TETREAULTCredential: MD
Location Address27 GAMECOCK AVE, STE 201Charleston, SC 29407-3398
Mailing Address27 Gamecock Ave, Ste 201Charleston, SC 29407-3398 · (843) 769-8215 · Fax (843) 769-8216
Phone(843) 769-8215
Fax(843) 769-8216
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateNovember 7, 2014
✔ NPI 1639115066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Licenses✔ Licensed in SC · 33970✔ Licensed in NY · 171005
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
27 GAMECOCK AVE, Charleston, SC 29407
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Other Identifiers 1

Medicare UPINE15598NY

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERA BROWN LPC, MED
Counselor (Professional)
27 GAMECOCK AVE, SUITE #202
CHARLESTON, SC 29407
Charleston County (843) 270-9929
JOHN E. EMMEL, MD, PC
Family Medicine (Geriatric Medicine)
27 GAMECOCK AVE, STE 201
CHARLESTON, SC 29407
Charleston County (843) 769-8215
CORINNE MAULDIN L P C
Counselor (Professional)
27 GAMECOCK AVE
CHARLESTON, SC 29407
Charleston County (843) 324-5158
HELEN E WHEELER MED, LPC
Counselor
27 GAMECOCK AVE, SUITE 202
CHARLESTON, SC 29407
Charleston County (843) 224-1782
MR. ANTHONY HALE MSN, APRN, AGNP-C
Nurse Practitioner (Adult Health)
27 GAMECOCK AVE, SUITE 201
CHARLESTON, SC 29407
Charleston County (843) 769-8215
RALPH BERNARD PIENING III MD
Internal Medicine
27 GAMECOCK AVE, STE 201
CHARLESTON, SC 29407
Charleston County (843) 769-8215
JOHN E EMMEL MD
Family Medicine (Geriatric Medicine)
27 GAMECOCK AVE, STE 201
CHARLESTON, SC 29407
Charleston County (843) 769-8215
THE CENTER FOR FAMILIES LLC
Counselor
27 GAMECOCK AVE, SUITE #202
CHARLESTON, SC 29407
Charleston County (843) 763-5837

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dolores Tetreault's NPI number?

The NPI number for Dolores Tetreault is 1639115066. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Dolores Tetreault located?

Dolores Tetreault practices at 27 Gamecock Ave Ste 201, Charleston, SC 29407. The listed phone number is (843) 769-8215.

What is Dolores Tetreault's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Dolores Tetreault was last updated on November 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.