Portia Brooks
NPI #1679943419 in North Charleston, South Carolina
Provider Information
- NPI Number
- 1679943419
- Entity Type
- Individual
- Name
- Portia Brooks
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician, Other
- Enumeration Date
- Oct 6, 2015
- Last Updated
- Oct 6, 2015
Practice Location
- Address
- 5880 RIVERS AVE
- City
- North Charleston
- State
- South Carolina
- ZIP Code
- 29406-6053
- Phone
- (843) 725-4673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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