Individual
DR. BRENNA B. DELAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1136 KINCAIDE BRIDGE RD, STE A, WINNSBORO, SC 29180
(803) 635-1052
(803) 635-2297
Mailing address
204 WILD CHERRY RD, COLUMBIA, SC 29223-6730
(803) 865-6678
(803) 798-7943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15886
SC
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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