Individual
BRANDY DIANE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2 ROPER CORNERS CIR, GREENVILLE, SC 29615-4833
(864) 234-7815
(864) 234-7846
Mailing address
200 N HIGHWAY 25, TRAVELERS REST, SC 29690-2300
(864) 834-7269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19647
SC
Other
Enumeration date
07/26/2015
Last updated
09/01/2022
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