Individual
DR. STEPHEN PAUL BRACKBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 HALTON RD STE 200, GREENVILLE, SC 29607-3507
(864) 232-7338
Mailing address
PO BOX 8676, GREENVILLE, SC 29604-8676
(864) 232-7338
(864) 239-6645
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
28623
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286238
—
SC
Enumeration date
06/09/2006
Last updated
05/17/2024
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