Individual
STEPHANIE DERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2100 BULL ST, COLUMBIA, SC 29201-2104
(803) 898-0598
Mailing address
2100 BULL ST, COLUMBIA, SC 29201-2104
(803) 898-0598
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
62965
SC
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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