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Brooke Scupp
Medical Physician Assistant in Irmo, South Carolina
NPI 1093309668

Brooke Scupp is a Medical Physician Assistant based in Irmo, SC and is specialized in Medical. Brooke Scupp practices in Irmo, SC. The NPI Number for Brooke Scupp is 1093309668 and holds a License No. (South Carolina).

The current practice location address for Brooke Scupp is 473 Woodhouse Loop, Irmo, SC and can be reached out via phone at 803-422-3754.

Location: 473 Woodhouse Loop, Irmo, SC, 29063-7781
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093309668
Provider Name
Brooke Scupp
Credential
Provider Entity Type
Individual
Gender
Female
Address
473 Woodhouse Loop, Irmo, SC, 29063-7781
Phone Number
803-422-3754
Fax Number
Provider Enumeration Date
02/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
473 Woodhouse Loop
City
Irmo
State
South Carolina
Zip
29063-7781
Phone Number
803-422-3754
Fax Number
person
Provider Business Mailing Address Details
Address
473 Woodhouse Loop
City
Irmo
State
South Carolina
Zip
29063-7781
Phone Number
803-422-3754
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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