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Contact Information

REBECCA L DARROUDI, PA-C
176 DERMIS RD
HARDEEVILLE, SC29927
 Phone: 843-208-2055
 Fax: 912-927-0267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for REBECCA L DARROUDI · (Female)

NPI Number 1407378508
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/10/2017
Last updated 03/31/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • SC License # PA22771
  • SC License # TL2771
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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