Individual
DR. DEREK JOHN FEUSSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2073 CHARLIE HALL BLVD, CHARLESTON, SC 29414
(843) 571-0643
(843) 571-0311
Mailing address
2073 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5834
(843) 571-0643
(843) 571-0311
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
LL38558
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2012
Last updated
05/13/2024
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