Individual
CHARLOTTE J DERRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 MCDANIEL AVE, PICKENS, SC 29671-2527
(864) 898-5965
Mailing address
200 MCDANIEL AVE, PICKENS, SC 29671-2527
(864) 898-5965
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
241013
SC
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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