NPI 1053066704
Brandi Rose
Practice location
- Address
- 54 Oak Grove Rd, Goose Creek, SC 29445-4356
- Phone
- (843) 283-0169
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1053066704
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Feb 2022
- Record last updated
- 21 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.