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Deaundria Fredrick, CPT
Community Health Clinic/Center in West Columbia, South Carolina
NPI 1861128662

Deaundria Fredrick is a Community Health Clinic/Center based in West Columbia, SC and is specialized in Community Health. Deaundria Fredrick practices in West Columbia, SC and has the professional credentials of CPT. The NPI Number for Deaundria Fredrick is 1861128662 and holds a License No. (South Carolina).

The current practice location address for Deaundria Fredrick is 223 Calico Ct, West Columbia, SC and can be reached out via phone at 803-383-5818.

Location: 223 Calico Ct, West Columbia, SC, 29172-2608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861128662
Provider Name
Deaundria Fredrick
Credential
CPT
Provider Entity Type
Individual
Gender
Female
Address
223 Calico Ct, West Columbia, SC, 29172-2608
Phone Number
803-383-5818
Fax Number
Provider Enumeration Date
07/26/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000 01 N/A
institution
Provider Business Practice Location Address Details
Address
223 Calico Ct
City
West Columbia
State
South Carolina
Zip
29172-2608
Phone Number
803-383-5818
Fax Number
person
Provider Business Mailing Address Details
Address
223 Calico Ct
City
West Columbia
State
South Carolina
Zip
29172-2608
Phone Number
803-383-5818
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
()
Definition
Definition to come...
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