Individual
DEBORAH LYNN FYFFE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 LAUREL ST, STE 110, COLUMBIA, SC 29204
(803) 256-7494
(803) 799-0746
Mailing address
2601 LAUREL ST, STE 110, COLUMBIA, SC 29204
(803) 256-7494
(803) 799-0746
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14309
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143099
—
SC
Enumeration date
05/10/2006
Last updated
07/08/2007
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