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Portereshice Brabham

NPI 1528309606 · on the registry since 2013 · sole proprietor

Practice

Address
345 Amelia St
Fairfax, SC 29827
Phone
(803) 682-7110

Registry record

Primary taxonomy
302R00000X
302R00000X
Sex
Female
Record last updated
2013-03-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina