Monroe, Regina Derstine

Monroe, Regina Derstine is an individual health care provider with primary practice located at 200 Patewood Dr Suite A115, Greenville SC 29615-3593. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as her primary health care specialty. Monroe, Regina Derstine can be contacted via phone (864) 454-5135.

Contact Information

Primary practice address
200 Patewood Dr Suite A115 Greenville SC 29615-3593
Phone: (864) 454-5135
Fax: (864) 241-9200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 32589 South Carolina

Profile Details

NPI number 1134386394
LBN Legal business name Monroe, Regina Derstine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2008
Last updated Sep 14th, 2012 - about 14 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 1134386394 NPPES
South Carolina MEDICAID 325892

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