Individual
MRS. WANDA MARIE BRISBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
282 HAIGS CRK N, ELGIN, SC 29045-8328
(803) 606-8921
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
49769
SC
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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