Individual
DEBORAH L GREENLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 256-5458
Mailing address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 256-5458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
388
SC
208M00000X
Hospitalist Physician
388
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
APN388
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00283012
RAILROAD MEDICARE
SC
Enumeration date
11/27/2007
Last updated
11/28/2007
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