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Deidra Willis, A-GNP
Primary Care Nurse Practitioner in Columbia, South Carolina
NPI 1114452901

Deidra Willis is a Primary Care Nurse Practitioner based in Lexington, SC and is specialized in Primary Care. Deidra Willis practices in Columbia, SC and has the professional credentials of A-GNP. The NPI Number for Deidra Willis is 1114452901 and holds a License No. 20835 (South Carolina).

The current practice location address for Deidra Willis is 6439 Garners Ferry Rd, Columbia, SC and can be reached out via phone at 803-776-4000.

Location: 6439 Garners Ferry Rd, Columbia, SC, 29073-6924
person
Provider Profile Details
NPI Number
1114452901
Provider Name
Deidra Willis
Credential
A-GNP
Provider Entity Type
Individual
Gender
Female
Address
6439 Garners Ferry Rd, Columbia, SC, 29073-6924
Phone Number
803-776-4000
Fax Number
Provider Enumeration Date
04/29/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6439 Garners Ferry Rd
City
State
Zip
29209-1638
Phone Number
803-776-4000
Fax Number
person
Provider Business Mailing Address Details
Address
6439 Garners Ferry Rd
City
State
Zip
29209-1638
Phone Number
803-776-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
20835 (South Carolina)
Definition
Definition to come...
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