Brandon Walker Whitworth

NPI #1649522202 in Easley, South Carolina

Provider Information

NPI Number: 1649522202
Entity Type: Individual
Name: Brandon Walker Whitworth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Oct 8, 2012
Last Updated: Oct 8, 2012

Practice Location

Address: 1040 S PENDLETON ST STE C
City: Easley
State: South Carolina
ZIP Code: 29642-1047
Phone: (864) 306-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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