Individual
BRITNI BRADSHAW MAPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 GROVE ROAD, BRYAN NEONATAL INTENSIVE CARE UNIT, GREENVILLE, SC 29605
(864) 608-0296
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-2286
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34859
SC
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
34859
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348591
—
SC
Enumeration date
06/11/2012
Last updated
05/11/2021
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