NPI 1679943419

Portia Brooks

Practitioner Other Technician North Charleston, SC

Practice location

Address: 5880 Rivers Ave, North Charleston, SC 29406-6053
Phone: (843) 725-4673
Fax: (843) 725-1235

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in South Carolina →

Registry record

NPI: 1679943419
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Oct 2015
Record last updated: 6 Oct 2015

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.