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Contact Information

PEGGY L BRAZELL, NP
255 ENTERPRISE BLVD
SUITE 101
GREENVILLE, SC29615-6300
 Phone: 864-454-8120
 Fax: 864-454-8125
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PEGGY L BRAZELL · (Female)

NPI # 1841247244
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 05/30/2006
Last updated 01/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 3023
  • SC Medicaid NP1046
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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