Individual
REBECCA LYNN DARROUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
176 DERMIS RD, HARDEEVILLE, SC 29927
(843) 208-2055
(912) 927-0267
Mailing address
900 MOHAWK STREET, STE E, SAVANNAH, CA 31419
(912) 925-0067
(912) 925-2381
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TL2771
SC
363A00000X
Physician Assistant
Primary
PA22771
SC
Other
Enumeration date
07/10/2017
Last updated
03/31/2021
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