Individual
BRITTANY MCCALL DIEFFENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2185 N FRASER ST, GEORGETOWN, SC 29440-6418
(842) 527-1800
(843) 527-6528
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3399
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3399
SC LICENSE
SC
Enumeration date
11/20/2019
Last updated
10/03/2025
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