Individual
MS. BRITTANY KEELER CHESTNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
811 W MAIN ST STE 207, LEXINGTON, SC 29072-2500
(803) 358-6420
(803) 358-6450
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1942
SC
363AM0700X
Medical Physician Assistant
1942
SC
363AM0700X
Medical Physician Assistant
9999
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942
PRESCRIPTIVE AUTHORITY
SC
01
—
MPA 1942 PA
SC MEDICAL LICENSE
SC
Enumeration date
05/10/2013
Last updated
07/02/2024
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