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Contact Information

BRANDON MARSHALL
459 SPRUCE ST
WALTERBORO, SC29488
 Phone: 843-549-9500
 Fax: 843-549-6885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BRANDON MARSHALL · (Male)

NPI Number 1154830743
Status Active
Credentials
Entity Individual
Enumeration date 09/26/2017
Last updated 06/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 2018
  • SC Medicaid D20181
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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