Individual
BRANDY JONES-MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 E MAIN ST, SPARTANBURG, SC 29302-1933
(864) 504-7184
Mailing address
441 MELBOURNE LN, SPARTANBURG, SC 29301-3245
(864) 504-7184
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
78742
SC
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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