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NPI Code Detail

MEDICARE: MR. DAVID LEE DEMBY SR. FNP

MEDICARE: MR. DAVID LEE DEMBY SR. FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner20606SC

General Provider Information

NPI Number : 1396285557
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID LEE DEMBY SR. FNP
Provider Business Mailing Address
First Line : 5719 TAXAHAW RD
Second Line :
City : LANCASTER
State : SC
Zip : 29720-9665
Country : US
Telephone Number : 803-288-3996
Fax Number :
Provider Business Practice Location Address
First Line : 1025 W MEETING ST STE 200
Second Line :
City : LANCASTER
State : SC
Zip : 29720-2246
Country : US
Telephone Number : 803-285-7414
Fax Number : 803-283-4329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2017
Last Update Date : 03/12/2026

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Directions to “ MR. DAVID LEE DEMBY SR. FNP” Practice Location

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