Individual
BRENDEN ALLEN DRERUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 RUTLEDGE AVE, CHARLESTON, SC 29425-8903
(843) 408-5628
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
LL88004
SC
Other
Enumeration date
06/06/2022
Last updated
05/22/2023
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