Dersch, Timothy Lee

Dersch, Timothy Lee is an individual health care provider with primary practice located at 340 Medical Pkwy Ste 200, Greer SC 29650-2441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dersch, Timothy Lee can be contacted via phone (864) 797-9400.

Contact Information

Primary practice address
340 Medical Pkwy Ste 200 Greer SC 29650-2441
Phone: (864) 797-9400
Fax: (864) 797-9402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 31261 South Carolina

Profile Details

NPI number 1366415523
LBN Legal business name Dersch, Timothy Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jan 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366415523 NPPES
South Carolina MEDICAID 312619
South Carolina Other P00656863

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