PAUL DEREK STREET

GREENVILLE, SC
NPI1003136862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  APRN4210)
Enumeration Date2010-06-03
Last Update Date2022-01-28
Business Address
PAUL DEREK STREET CRNA
7 INDEPENDENCE PT STE 300
GREENVILLE, SC 29615-4569
Phone number: 864-522-3700
Mailing Address
PAUL DEREK STREET CRNA
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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