Individual
STEPHEN ANDREW DERSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 PAMPLICO HWY STE B135, FLORENCE, SC 29505-6047
(843) 674-6414
(843) 674-2642
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22678
SC
207QA0505X
Adult Medicine Physician
22678
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226785
—
SC
01
—
CN2547
RAILROAD MEDICARE- GROUP NUMBER
SC
01
—
GP4840
MEDICAID GROUP
SC
01
—
P00103192
RAILROAD MEDICARE- PROVIDER NUMBER
SC
Enumeration date
05/03/2006
Last updated
03/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us