Individual
BRANDON WALKER WHITWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1040 S PENDLETON ST STE C, EASLEY, SC 29642-1047
(864) 306-0800
Mailing address
1040 S. PENDLETON ST UNIT C, EASLEY, SC 29642
(864) 306-0800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8149
SC
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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