Individual
BRENT MUMPOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1702 E GREENVILLE ST, ANDERSON, SC 29621-2009
(864) 224-5450
Mailing address
1702 E GREENVILLE ST, ANDERSON, SC 29621-2009
(864) 224-5450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R105897
SC
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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