Individual
BRENDA TOMLIN-AUBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 520-8348
(843) 520-8403
Mailing address
PO BOX 1718, GEORGETOWN, SC 29442-1718
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN1153
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237800121
TRICARE
—
05
—
AN1141
—
SC
Enumeration date
07/22/2005
Last updated
03/19/2010
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