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Individual

REBECCA BRENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1330 BOILING SPRINGS RD, SUITE 2500, SPARTANBURG, SC 29303-4201
(864) 585-5433
(864) 591-4053
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20520
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP4181
SC
Enumeration date
10/24/2016
Last updated
12/02/2020
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