Individual
BRIAN K MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
298 MEMORIAL DR, SENECA, SC 29672-9443
(864) 885-7156
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
68050
SC
363LF0000X
Family Nurse Practitioner
Primary
2057
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1836
—
SC
Enumeration date
09/29/2006
Last updated
07/08/2021
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