Individual
BRANDI TUCKER EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
873 ROBERTSON BLVD, WALTERBORO, SC 29488-3082
(843) 542-9535
(843) 542-9675
Mailing address
873 ROBERTSON BLVD, WALTERBORO, SC 29488-3082
(843) 542-9535
(843) 542-9675
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1571
SC
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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