Individual
MRS. BRITTANY FERNALD ZIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
955 RIBAUT RD, BEAUFORT, SC 29902-5441
(843) 522-5104
(843) 522-5468
Mailing address
PO BOX 1305, BEAUFORT, SC 29901-1305
(843) 522-5104
(843) 522-5468
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TL 1598
SC
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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