Individual
STEVEN DEBORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 UNIVERSITY RDG, GREENVILLE, SC 29601-3635
(864) 372-3149
Mailing address
200 UNIVERSITY RDG, GREENVILLE, SC 29601-3635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
254694
SC
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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