Individual
DR. DEREK SHIREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
167 ASHLEY AVE, CHARLESTON, SC 29425-4772
(843) 792-1606
Mailing address
167 ASHLEY AVE STE 301, CHARLESTON, SC 29425-8905
(843) 792-1606
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
87960
SC
Other
Enumeration date
03/29/2019
Last updated
06/19/2024
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