Individual
DR. DEREK L HORSTEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
809 82ND PKWY, ANESTHESIA DEPT, MYRTLE BEACH, SC 29572-4607
(843) 692-1000
Mailing address
PO BOX 932802, ATLANTA, GA 31193-2802
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21350
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
21350
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T55124
—
SC
Enumeration date
01/19/2006
Last updated
05/09/2008
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