Brooke Scupp

NPI #1093309668 in Irmo, South Carolina

Provider Information

NPI Number
1093309668
Entity Type
Individual
Name
Brooke Scupp
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Feb 24, 2021
Last Updated
Feb 24, 2021

Practice Location

Address
473 WOODHOUSE LOOP
City
Irmo
ZIP Code
29063-7781
Phone
(803) 422-3754

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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