Individual
DR. BRIAN R DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
104 N MAIN ST, GREENVILLE, SC 29601-2721
(864) 243-8371
(864) 243-8374
Mailing address
104 N MAIN ST, GREENVILLE, SC 29601-2721
(864) 243-8371
(864) 243-8374
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC3949
SC
Other
Enumeration date
01/23/2007
Last updated
05/23/2008
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