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Derek Bornhorst
NPI 1447716980 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2203 Marchbanks Ave
Anderson, SC 29621 - Phone
- (937) 726-7324
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 261QP2000X
261QP2000X - Licence states on file
- SC, OH, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina