Individual
MR. RONALD JERRY BROOKSHIRE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ADN RN
Contact information
Practice address
513 WHITEHALL RD, ANDERSON, SC 29625-2261
(864) 367-7247
Mailing address
513 WHITEHALL RD, ANDERSON, SC 29625-2261
(864) 367-7247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
53713
SC
Other
Enumeration date
10/22/2009
Last updated
10/22/2009
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