Individual
BRANDI D LANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 316-3627
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 316-3627
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
075525
GA
390200000X
Student in an Organized Health Care Education/Training Program
LL32775
SC
Other
Enumeration date
06/22/2010
Last updated
04/28/2016
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