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Contact Information

KEELIE L BREWER, NP
1325 SPRING ST
GREENWOOD, SC29646-3860
 Phone: 864-725-4095
 Fax: 864-725-5082
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Administrator

163WA2000X
Indicates primary specialty

NPI Profile & details for KEELIE L BREWER · (Female)

NPI # 1750754271
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 11/05/2015
Last updated 12/04/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 102511
  • SC License # 23500
Hospital affiliation(s)
  • SELF REGIONAL HEALTHCARE - (Acute Care)
    1325 SPRING STREET
    GREENWOOD, SC 29646
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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