Derrick, Fletcher Carl
Derrick, Fletcher Carl is an individual health care provider with primary practice located at Beaufort Memorial Lowcountry Medical Group 300 Midtown Dr, Beaufort SC 29906-5200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Derrick, Fletcher Carl can be contacted via phone (843) 770-0404.Contact Information
Primary practice address
Beaufort Memorial Lowcountry Medical Group 300 Midtown Dr
Beaufort SC 29906-5200
Phone: (843) 770-0404
Fax: (844) 296-2308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 18476 | South Carolina |
Profile Details
| NPI number | 1083784110 |
|---|---|
| LBN Legal business name | Derrick, Fletcher Carl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 24th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083784110 | NPPES |
| South Carolina | MEDICAID | 184767 |
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