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Individual

BROOKE CHEWNING BRADSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
3000 LOCKHART RD, KERSHAW, SC 29067-9661
(803) 432-6119
Mailing address
4640 RED HILL RD, CAMDEN, SC 29020-7840
(803) 427-6119

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/12/2012
Last updated
07/12/2012
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