Individual
BRANDON LEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-3484
Mailing address
701 GROVE ROAD, 5TH FLOOR SUPPORT TOWER, GREENVILLE, SC 29605
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
06/21/2024
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