Individual
MRS. GAYLE BBROUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
119 SPARROW DR, ISLE OF PALMS, SC 29451-2504
(843) 886-6786
Mailing address
119 SPARROW DR, ISLE OF PALMS, SC 29451-2504
(843) 886-6786
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00085947
SC
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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