Individual
TAVISH BRINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
1644 CHARLES TOWN RD, LEESVILLE, SC 29070-9670
(803) 894-3829
Mailing address
1644 CHARLES TOWN RD, LEESVILLE, SC 29070-9670
(803) 894-3829
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
SCDHEC MW003
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LM0004
—
SC
Enumeration date
05/08/2007
Last updated
09/08/2009
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