Individual
BRANDON JEFFERY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
460 LANGDON ST, SPARTANBURG, SC 29302-1614
(864) 504-3628
(864) 594-0040
Mailing address
PO BOX 5158, SPARTANBURG, SC 29304-5158
(864) 504-3628
(865) 594-0040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28328
SC
Other
Enumeration date
12/02/2022
Last updated
12/17/2025
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