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Individual

DR. COURTNEY LYNNE BRANDENBURG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
68 LINE ST STE 1, CHARLESTON, SC 29403-5681
(843) 910-9242
Mailing address
601 MEETING ST APT 7070, CHARLESTON, SC 29403-6890

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4308
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
N/A
Enumeration date
01/29/2020
Last updated
01/29/2020
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