Individual
MRS. AMY RENEE DERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
612 SAINT ANDREWS RD STE 2, COLUMBIA, SC 29210-5120
(803) 386-8684
Mailing address
612 SAINT ANDREWS RD STE 2, COLUMBIA, SC 29210-5120
(803) 386-8684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29149
SC
Other
Enumeration date
10/06/2014
Last updated
08/07/2024
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