Individual
BRANDON THOMAS GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 HERLONG AVE S STE A, ROCK HILL, SC 29732-1182
(803) 324-1028
(803) 328-6455
Mailing address
104 DILLARD CT, EASLEY, SC 29642-8195
(864) 420-3270
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-09245
NC
363A00000X
Physician Assistant
Primary
5784
SC
Other
Enumeration date
07/09/2019
Last updated
04/02/2025
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