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Individual

SANDRA G BREHMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP

Contact information

Practice address
709 TROLLEY RD, SUMMERVILLE, SC 29485-5203
(843) 764-0194
(843) 875-3149
Mailing address
PO BOX 2559, GOOSE CREEK, SC 29445-2559
(843) 764-0194
(843) 875-3149

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2117
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GP3659
MEDICAID GROUP #
SC
05
NP0810
SC
Enumeration date
07/21/2006
Last updated
07/25/2016
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