Individual
BRANDI LEIGH FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9405 HIGHWAY 17 BYP, MURRELLS INLET, SC 29576-9301
(843) 650-2213
Mailing address
9021 BELLA VERDE CT, MYRTLE BEACH, SC 29579-5110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22994
SC
Other
Enumeration date
08/09/2019
Last updated
05/13/2021
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