Individual
BRANDY JACKSON SINCLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
708 MEDICAL PARK DR, HARTSVILLE, SC 29550-4765
(843) 332-5121
Mailing address
2240 MORNINGSIDE DR, LANCASTER, SC 29720-9169
(803) 804-4701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22960
SC
363LP0200X
Pediatric Nurse Practitioner
22960
SC
Other
Enumeration date
07/12/2019
Last updated
05/07/2020
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