Brewton, Mary Sue K.
Brewton, Mary Sue K. is an individual health care provider with primary practice located at 3015 W Palmetto St , Florence SC 29501-5935. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brewton, Mary Sue K. can be contacted via phone (843) 777-6870.Contact Information
Primary practice address
3015 W Palmetto St
Florence SC 29501-5935
Phone: (843) 777-6870
Fax: (843) 777-6871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1285 | South Carolina |
Profile Details
| NPI number | 1730319351 |
|---|---|
| LBN Legal business name | Brewton, Mary Sue K. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2009 |
| Last updated | Feb 1st, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730319351 | NPPES |
| South Carolina | MEDICAID | 012854 |
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