Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 049565 | CT |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 31397 | SC |
NPI | 1861647927 |
---|---|
Provider Name | Hema Doshi Brazell |
First Address | Greenville, SC 29615-4536 |
Second Address | Greenville, SC 29605-4281 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2008 |
Last Update Date | 21/10/2019 |