Individual
MRS. DEANNA FIEGEL BEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNPC
Contact information
Practice address
SUMTER COUNTY HEALTH DEPARTMENT, 105 NORTH MAGNOLIA ST, SUMTER, SC 29150
(803) 773-5511
(803) 773-6366
Mailing address
448 FOUNTAIN LAKE RD, COLUMBIA, SC 29209-5717
(803) 783-2777
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F 74
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0538
—
SC
Enumeration date
10/03/2006
Last updated
07/08/2007
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