MR. DERELL LETWAUN FORD


Address: 481 Coachman Dr Apt G, Sumter, SC 29154-6261
Phone: 8033169253

MR. DERELL LETWAUN FORD (NPI# 1508248220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508248220
Entity Type Individual
Full Name MR. DERELL LETWAUN FORD
Credential RN
Practice Address 481 Coachman Dr Apt G
Sumter
SC 29154-6261
Practice Telephone 8033169253
Mailing Telephone 8033169253
Enumeration Date 2015-06-19
Last Update Date 2015-06-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WM0705X Registered Nurse
Specialization: Medical-Surgical
226271 SC Nursing Service Providers

Office Location

Street Address 481 COACHMAN DR APT G
City SUMTER
State SC
Zip Code 29154-6261

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1588792998 Dental Team of Sumter, P.a. Dentist 5635 Broad St Ext, Sumter, SC 29154 2007-02-28
1992893465 Robert Capers Lee Dentist 5635 Broad Street Ext, Sumter, SC 29154 2006-10-10
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Taxonomy Information

Taxonomy Code 163WM0705X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Medical-Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568014587 Cathy B Mulloy Registered Nurse 3422 Beacon Dr, Sumter, SC 29154-8213 2019-07-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457982043 Alicia Nicole Burkett Registered Nurse 125 King George Way, Columbia, SC 29210-4514 2020-02-01
1366909053 Maria Regina Vidanes Registered Nurse 601 Traditions Way, Columbia, SC 29229-7426 2019-02-28
1114452463 Marya Janelle Parker Registered Nurse 3006 Knightbridge Rd, Columbia, SC 29223-2131 2017-04-25
1831576123 Brian Knight Registered Nurse 146 Back Tee Cir, Summerville, SC 29485-6276 2015-05-06
1457534844 Susan Henry Hancock Registered Nurse 1738 Clark Hills Cir, Johns Island, SC 29455-7605 2007-12-09
1841415791 Vivian Washington Registered Nurse 1414 Burclare Rd, Charleston, SC 29412-8147 2007-04-16
1770191652 Kristina G. Aldrich Registered Nurse 830 S Buncombe Rd, Greer, SC 29650-2400 2020-07-16
1104451483 Tracey Michelle Lewis Registered Nurse 300 Singleton Ridge Rd, Conway, SC 29526-9142 2020-03-07
1174094015 Stephanie Duehr Registered Nurse 109 Bee St, Charleston, SC 29401-5703 2018-12-17
1518471192 Melissa Ann Maxwell Registered Nurse 4600 Goer Dr Ste 201, North Charleston, SC 29406-6500 2017-11-19
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Competitor

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City SUMTER
Zip Code 29154

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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