Individual
MS. NATASHA RENEE BROCKINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
AGAPE SENIOR PRIMARY CARE, INC., 1624 MAIN STREET SUITE C, COLUMBIA, SC 29201-2860
(803) 451-6133
(803) 726-2210
Mailing address
AGAPE SENIOR PRIMARY CARE, INC., 1624 MAIN STREET, COLUMBIA, SC 29201-2818
(803) 726-2283
(803) 753-9102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
20143
SC
363LP2300X
Primary Care Nurse Practitioner
Primary
20143
SC
Other
Enumeration date
05/04/2016
Last updated
03/16/2022
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