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1912453267
ELIZABETH DERKS
COLUMBIA, SC
NPI
1912453267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: SC 1519)
Enumeration Date
2016-08-28
Last Update Date
2018-03-23
Business Address
ELIZABETH DERKS
9 RICHLAND MEDICAL PARK DR STE 110
COLUMBIA, SC 29203-6859
Phone number: 803-434-2505
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Mailing Address
ELIZABETH DERKS
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7320
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