| Doctor Name: | DORIS BRENNEMAN |
| NPI Number: | 1043551385 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | R25123 |
| Business Practice Address: | 29 Lions Trl Warrenville, SC - 298512239 |
| Business Phone Number: | 8035937260 |
| Business Fax Number: | 8035937119 |
| Mailing Address: | 29 Lions Trl, WARRENVILLE |
| State: | SC |
| Postal Code: | 298512239 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/12/2013 |
| NPI Last Update Date: | 03/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | R25123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |