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Derek Allen Dubay

Transplant Surgery in Greenville, SC. Individual provider (NPI-1).

NPI number1053584946
StatusActive
Last updated in NPPESNov 13, 2024

Details

NPI
1053584946
Entity type
Individual (NPI-1)
Name
Derek Allen Dubay
Sex
Male
Sole proprietor
No
Enumeration date
Apr 11, 2008
Certification date
Nov 13, 2024
Last updated
Nov 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
204F00000X Transplant Surgery39857SCYes
204F00000X Transplant Surgery5315008853MI

Practice location

890 W Faris Rd
Greenville, SC 29605-4253

Phone 864-455-1770 · Fax 864-455-1775

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Phone 864-522-8603

Other practice locations

171 Ashley Ave
Charleston, SC 29425-8908

Phone 843-792-1414

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