IndividualActive
Phillips Deridder, MD
NPI 1124512454 · Pediatric Critical Care Medicine Physician · Columbia, SC
Provider details
- NPI number
- 1124512454
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- LL52457 (SC)
Practice location
9 Richland Medical Park Dr Ste 530
Columbia, SC 29203-6870
Phone: (803) 434-4603
Fax: (803) 434-7983
Mailing address
300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842
Registry dates
- Enumerated
- 2018-06-20
- Last updated
- 2025-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.