Individual
CHRISTOPHER BROKAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-7480
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
214092
SC
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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