Individual
BRANDI FUGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 FLOYD ROAD EXT, SPARTANBURG, SC 29307-1048
(864) 285-0574
Mailing address
105 PARK AVE, LANDRUM, SC 29356-2050
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LMW-0135
SC
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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