Individual
BRANDI MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-8154
Mailing address
PO BOX 277723, ATLANTA, GA 30384-7723
(864) 560-4123
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21654
SC
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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