Individual
BRANDON LEE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2439 WILLWOOD DR, FLORENCE, SC 29501-3904
(843) 777-3199
Mailing address
2439 WILLWOOD DR, FLORENCE, SC 29501-3904
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
3641
SC
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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