Individual
MRS. CHARLOTTE ANNE GROVER BRANYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7611 HIGHWAY 76 STE C, PENDLETON, SC 29670-9162
(864) 546-5570
(864) 546-5571
Mailing address
7611 HIGHWAY 76 STE C, PENDLETON, SC 29670-9162
(864) 546-5570
(864) 546-5571
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F 4237
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA58930381
PTAN
SC
Enumeration date
06/02/2010
Last updated
09/19/2013
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