Individual
MISS BRANDIE LEE BROGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
206 AIRPORT CT, MULLINS, SC 29574-6196
(843) 423-8295
Mailing address
837 E SELLERS RD, MARION, SC 29571-6417
(843) 610-6849
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P-70040
SC
Other
Enumeration date
12/18/2021
Last updated
12/18/2021
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