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Individual

DR. JEFFERY HALL BRANDENBURG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 434-4300
(803) 434-4351
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(803) 296-7320
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16751
SC
208M00000X
Hospitalist Physician
16751
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167517
SC
05
400186
SC
Enumeration date
02/17/2006
Last updated
12/21/2022
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