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1356992515
BROCK CHAMBERLAIN
CHARLESTON, SC
NPI
1356992515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 4386)
Enumeration Date
2019-09-27
Last Update Date
2023-01-18
Business Address
BROCK CHAMBERLAIN
171 ASHLEY AVE
CHARLESTON, SC 29425-1362
Phone number: 843-792-1414
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Mailing Address
BROCK CHAMBERLAIN
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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