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Peggy Loree Brazell, NP
Gerontology Nurse Practitioner in Greenville, South Carolina
NPI 1841247244

Peggy Loree Brazell is a Gerontology Nurse Practitioner based in Greenville, SC and is specialized in Gerontology. Peggy Loree Brazell practices in Greenville, SC and has the professional credentials of NP. The NPI Number for Peggy Loree Brazell is 1841247244 and holds a License No. 3023 (South Carolina).

The current practice location address for Peggy Loree Brazell is 255 Enterprise Blvd, Greenville, SC and can be reached out via phone at 864-454-8120 and via fax at 864-454-8125. You can also correspond with Peggy Loree Brazell through the mailing address at 1 INDEPENDENCE PT STE 212, GREENVILLE, SC - 29615-4536 (mailing address contact number: 864-797-6303).

Location: 255 Enterprise Blvd, Greenville, SC, 29615-4536
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Provider Profile Details
NPI Number
1841247244
Provider Name
Peggy Loree Brazell
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
255 Enterprise Blvd, Greenville, SC, 29615-4536
Phone Number
864-454-8120
Fax Number
864-454-8125
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP1046 05 SC
institution
Provider Business Practice Location Address Details
Address
255 Enterprise Blvd
City
State
Zip
29615-6300
Phone Number
864-454-8120
Fax Number
864-454-8125
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Provider Business Mailing Address Details
Address
1 Independence Pt Ste 212
City
State
Zip
29615-4536
Phone Number
864-797-6303
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
3023 (South Carolina)
Definition
Definition to come...
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