Individual
BRENDA BROWN BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1736 MAIN ST S, GREENWOOD, SC 29646-4124
(864) 942-3600
Mailing address
3615 HIGHWAY 246 N, HODGES, SC 29653-9197
(864) 374-3541
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
23853
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23853
—
SC
Enumeration date
04/10/2014
Last updated
04/10/2014
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