Willis, Deidra
Willis, Deidra is an individual health care provider with primary practice located at 6439 Garners Ferry Rd , Columbia SC 29209-1638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Willis, Deidra can be contacted via phone (803) 776-4000.Contact Information
Primary practice address
6439 Garners Ferry Rd
Columbia SC 29209-1638
Phone: (803) 776-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 20835 | South Carolina |
Profile Details
| NPI number | 1114452901 |
|---|---|
| LBN Legal business name | Willis, Deidra |
| Credentials | A- GNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2017 |
| Last updated | Apr 29th, 2017 - about 9 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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