Individual
COREY MICHAEL BRAMBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(910) 547-0374
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 935-8292
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
231057
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
26183
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
06/06/2021
Last updated
04/20/2023
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