Individual
DR. STACEY V BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
207 KING ST, COLUMBIA, SC 29205-3127
(803) 252-3426
Mailing address
207 KING ST, COLUMBIA, SC 29205-3127
(803) 252-3426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9300
SC
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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