Individual
THOMAS BRENZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC 333, CHARLESTON, SC 29425-8905
(843) 792-0435
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC 333, CHARLESTON, SC 29425-8905
(843) 792-0435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL86307
SC
208000000X
Pediatrics Physician
LL86307
SC
Other
Enumeration date
05/07/2019
Last updated
06/16/2021
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