Individual
SHORHONDA MARIE GASKIN-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 BROOKLYN AVE, HEMINGWAY, SC 29554-6017
(843) 933-5651
Mailing address
65 BROOKLYN AVE, HEMINGWAY, SC 29554-6017
(843) 933-5651
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
201708
SC
175L00000X
Homeopath
201708
SC
302R00000X
Health Maintenance Organization
201708
SC
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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