Individual
BRANDI BURGESS HAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1228 HARDEN ST STE B, COLUMBIA, SC 29204-1800
(803) 744-0540
(803) 744-0542
Mailing address
169 LAURELHURST AVE, COLUMBIA, SC 29210-3825
(803) 733-5969
(803) 753-5591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24525
SD
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
24525
SC
Other
Enumeration date
06/11/2020
Last updated
05/25/2022
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