Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath | 201708 | SC |
NPI | 1700225851 |
---|---|
Provider Name | Shorhonda Marie Gaskin-Brown |
First Address | Hemingway, SC 29554-6017 |
Second Address | Hemingway, SC 29554-6017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2013 |
Last Update Date | 21/06/2013 |