Individual
BROOKE SHINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1311 ABBERLY VILLAGE CIR, WEST COLUMBIA, SC 29169-2462
(937) 974-7835
Mailing address
1311 ABBERLY VILLAGE CIR, WEST COLUMBIA, SC 29169-2462
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
1757
SC
Other
Enumeration date
03/15/2013
Last updated
07/10/2015
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