Individual
PORTIA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5880 RIVERS AVE, NORTH CHARLESTON, SC 29406-6053
(843) 725-4673
(843) 725-1235
Mailing address
5880 RIVERS AVE, NORTH CHARLESTON, SC 29406-6053
(843) 725-4673
(843) 725-1235
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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