Individual
DR. BRANDON TIMOTHY MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1005 E CHEVES ST, FLORENCE, SC 29506-2707
(843) 777-7900
(843) 777-7925
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7900
(843) 777-7925
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
85773
GA
207Q00000X
Family Medicine Physician
LL40718
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
40718
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407189
—
SC
Enumeration date
06/12/2017
Last updated
09/21/2021
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