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:
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Health care specialties

SpecialtyCodeLicense #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 5 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 1083784110 NPPES
South Carolina MEDICAID 184767

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