Individual
STEPHANIE BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1530 HARDEN ST, COLUMBIA, SC 29204-1057
(803) 376-5802
Mailing address
1530 HARDEN ST, COLUMBIA, SC 29204-1057
(803) 376-5802
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
211811
SC
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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