Individual
BROOKE BARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 COLONIAL DR, COLUMBIA, SC 29203-6827
(803) 898-2276
Mailing address
121 CATAWBA CIR, COLUMBIA, SC 29201-5265
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/17/2014
Last updated
08/17/2014
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