Individual
DAVID EASTERLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
179 DERBY DR, WEST COLUMBIA, SC 29170-3306
(803) 463-1766
Mailing address
179 DERBY DR, WEST COLUMBIA, SC 29170-3306
(803) 463-1766
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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