Individual
TONYA HAYNES BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIALIST
Contact information
Practice address
1224 BROAD RIVER RD, COLUMBIA, SC 29210-7619
(803) 798-0505
Mailing address
228 CAMBRIDGE LANE RD, COLUMBIA, SC 29223-4076
(803) 309-0405
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
RC34201
SC
Other
Enumeration date
12/01/2019
Last updated
12/01/2019
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