SHAQUANNA MARIA BROCKINGTON

FLORENCE, SC
NPI1134859929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  4447)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2022-06-14
Last Update Date2024-11-11
Business Address
SHAQUANNA MARIA BROCKINGTON PA-C
2200 S IRBY ST
FLORENCE, SC 29505-3423
Phone number: 843-662-9945
Mailing Address
SHAQUANNA MARIA BROCKINGTON PA-C
PO BOX 749306
ATLANTA, GA 30374-9306
Phone number:
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