Individual
THERESE B BRILLIANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
220 EXECUTIVE DR, GREER, SC 29651-1244
(864) 879-2111
Mailing address
20 POWDERHORN RD, SIMPSONVILLE, SC 29681-3399
(864) 963-3421
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
242794
SC
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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