Minor, Demerise Ott

Minor, Demerise Ott is an individual health care provider with primary practice located at 3 Richland Medical Park Dr Suite 310, Columbia SC 29203-6849. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Minor, Demerise Ott can be contacted via phone (803) 434-8323.

Contact Information

Primary practice address
3 Richland Medical Park Dr Suite 310 Columbia SC 29203-6849
Phone: (803) 434-8323
Fax: (803) 434-8326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN766 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 766 South Carolina

Profile Details

NPI number 1245296797
LBN Legal business name Minor, Demerise Ott
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Apr 12th, 2023 - about 3 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 1245296797 NPPES
South Carolina MEDICAID NP0587

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