Individual
BRANDON MYCHAEL WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9565 HIGHWAY 78, SUITE 400, LADSON, SC 29456-4118
(843) 737-0437
Mailing address
9565 HIGHWAY 78, SUITE 400, LADSON, SC 29456-4118
(843) 737-0437
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2196
SC
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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