Individual
DEBORAH DEON LEWIS PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
255 ENTERPRISE BLVD, STE 101, GREENVILLE, SC 29615-6300
(864) 454-8120
(864) 454-8125
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2004
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0786
—
SC
01
—
P00801351
RAILROAD MEDICARE
SC
Enumeration date
05/04/2006
Last updated
08/30/2013
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