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Contact Information

WILLIBA BROGDON
730 BROAD ST
C
SUMTER, SC29150-3356
 Phone: 704-701-0836
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for WILLIBA BROGDON · (Female)

NPI Number 1467820803
Status Active
Credentials
Entity Individual
Enumeration date 09/02/2015
Last updated 09/02/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • SC Other 000-000-0000 TARGETED CASE MANAGEMENT SERVICES
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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