Individual
MRS. SHAQUAN MARTEE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5110 FAIRFIELD RD, COLUMBIA, SC 29203-4323
(803) 893-7019
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20436
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4474
—
SC
Enumeration date
09/08/2016
Last updated
08/14/2024
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