Individual
DARRELL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 DEER DR, KINGSTREE, SC 29556-3155
(843) 356-9199
Mailing address
28 DEER DR, KINGSTREE, SC 29556-3155
(843) 356-9199
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
G118345
SC
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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