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Individual

BRENDA LEE SORRELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CO

Contact information

Practice address
223 S HERLONG AVE STE 110, ROCK HILL, SC 29732-1089
(803) 980-5080
Mailing address
223 S HERLONG AVE STE 110, ROCK HILL, SC 29732-1089
(803) 980-5080
(803) 980-5083

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO003119
224900000X
Mastectomy Fitter
CFM02296

Other

Enumeration date
11/25/2019
Last updated
05/31/2022
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