Individual
ELIZABETH BROCKINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
742 W LIBERTY ST, SUMTER, SC 29150-4746
(803) 773-5227
(803) 746-7445
Mailing address
940 HOLLY ST, ORANGEBURG, SC 29115-4930
(803) 536-2725
(803) 534-3118
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19761
SC
Other
Enumeration date
10/14/2015
Last updated
04/03/2018
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