Individual
BRANDON MICHAEL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 CARROLL CT, SUMMERVILLE, SC 29483-4227
(843) 793-7893
Mailing address
109 CARROLL CT, SUMMERVILLE, SC 29483-4227
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21259
SC
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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