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1841900651
BRANDON JEFFERY LEWIS
COLUMBIA, SC
NPI
1841900651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 28328)
Enumeration Date
2022-12-02
Last Update Date
2024-02-28
Business Address
BRANDON JEFFERY LEWIS NP
1601 GREENE ST
COLUMBIA, SC 29208-4001
Phone number: 803-777-7412
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Mailing Address
BRANDON JEFFERY LEWIS NP
1601 GREENE ST
COLUMBIA, SC 29208-4001
Phone number:
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