Individual
SARKIS DERDERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1875 HARDEN ST, COLUMBIA, SC 29204-1014
(803) 256-0464
(803) 254-5121
Mailing address
1875 HARDEN ST, COLUMBIA, SC 29204-1014
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
384
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003846
—
SC
Enumeration date
01/02/2006
Last updated
03/17/2022
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