Individual
MRS. DETRA ELAINE PROVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4223 WASHINGTON RD, EVANS, GA 30809-3069
(706) 869-0937
(706) 993-9781
Mailing address
114 ABERDEEN DR, AIKEN, SC 29803-7100
(803) 649-3603
(803) 649-3603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
32754
TX
183500000X
Pharmacist
8706
SC
183500000X
Pharmacist
Primary
RPH18214
GA
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us