Individual
BRINDA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1132 US HIGHWAY 378 E, MC CORMICK, SC 29835-7058
(864) 443-2687
Mailing address
111 LYMAN AVE, GREENWOOD, SC 29646-4516
(864) 227-6768
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P25569
SC
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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