Individual
ANDREA T. DEYRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
8 MEMORIAL MEDICAL CT, SUITE 1, GREENVILLE, SC 29605-4449
(864) 295-3492
(864) 295-4817
Mailing address
8 MEMORIAL MEDICAL CT, SUITE 1, GREENVILLE, SC 29605-4449
(864) 295-3492
(864) 295-4817
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
052916
GA
Other
Enumeration date
05/04/2006
Last updated
06/16/2009
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