NPI 1023496627
Shellyann Kornegay-Brooks, LPN
Practice location
- Address
- 132 Sundew Rd, Elgin, SC 29045-9826
- Phone
- (803) 931-3879
- Mailing address
- 136 Forum Rd STE 4 #443, Columbia, SC 29229
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1023496627
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 May 2015
- Record last updated
- 3 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.