Doctor Name: | MR. RICHARD DALE BRINSON |
NPI Number: | 1003230780 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSN, APRN, NP-C |
License Number: | 18671 |
Business Practice Address: | 9330 Medical Plaza Dr North Charleston, SC - 294069104 |
Business Phone Number: | 8438474595 |
Business Fax Number: | |
Mailing Address: | 1802 Canal Dr, MONCKS CORNER |
State: | SC |
Postal Code: | 294619227 |
Phone Number: | 8439349816 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2014 |
NPI Last Update Date: | 03/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LC0200X |
License Number: | 18671 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |