Individual
BRANDON ITHIEL ESIANOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
327014
NY
207Y00000X
Otolaryngology Physician
91595
SC
207YP0228X
Pediatric Otolaryngology Physician
Primary
91595
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
915950
—
SC
Enumeration date
04/10/2018
Last updated
04/13/2026
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