Individual
DEREK THOMAS ROPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
115 BRUSHY CREEK RD, EASLEY, SC 29642-1120
(864) 635-0376
(864) 442-6848
Mailing address
PO BOX 1315, EASLEY, SC 29641-1315
(864) 635-0376
(864) 442-6848
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A849
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274PA
—
SC
Enumeration date
05/15/2006
Last updated
09/23/2021
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