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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1134386394 | NPPES |
| South Carolina | MEDICAID | 325892 |
Popular Providers
-
Skoog, Steven John
3181 Sw Sam Jackson Park Rd Cdw6, Portland OR 97239-3011 -
Ashley, Richard A
5166 E. Glenn St. , Tucson AZ 85712 -
Suarez, Bonadelvert C
42421 Pelican Professional Park , Hammond LA 70403-2405 -
Cortez, Jose Carlos
1301 Barbra Jordan Blvd. Suite 302, Austin TX 78723-3078 -
Teague, Julius Lynn
200 Patewood Dr Suite A115, Greenville SC 29615-3593 -
Jibilian, Artin Y
255 N. Howard , Fresno CA 93701 -
Ritchey, Michael L.
1920 E Cambridge Ave Ste 302 , Phoenix AZ 85006-1464 -
Choe, Sung M
421 E Merced Ave , West Covina CA 91790