Individual
DEEDRA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1268 S 4TH ST, HARTSVILLE, SC 29550-0703
(843) 332-3422
(843) 332-3985
Mailing address
PO BOX 1090, HARTSVILLE, SC 29551-1090
(843) 857-0111
(843) 309-8126
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28778
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NN1130
—
SC
Enumeration date
09/10/2024
Last updated
04/02/2026
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