Individual
BRENDA HAMBERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3909 S HIGHWAY 14, GREENVILLE, SC 29615-6138
(864) 522-1320
(864) 522-1325
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
405
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0475PA
—
SC
Enumeration date
08/03/2006
Last updated
04/29/2013
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