Individual
BRENDA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
(864) 355-1363
(864) 355-1351
Mailing address
100 BLASSINGAME RD, GREENVILLE, SC 29605-3304
(864) 355-1363
(864) 355-1351
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.92891R
SC
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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