Search › South Carolina › 363A00000X
Brooke Fuentes, PA-C
NPI 1649564063 · on the registry since 2011 · sole proprietor
Practice
- Address
- 300 E Blackstock Road
Suite E
Spartanburg, SC 29301 - Phone
- (864) 285-9861
- Fax
- (864) 595-8281
- Organisation at this address
- Doctors Care Sc, Pa
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
- Licence states on file
- VA, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-13
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