Healthcare Provider Details

I. General information

NPI: 1184575029
Provider Name (Legal Business Name): MRS. RUTH ANN BREWER TOPPER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 TALL PINES RD
FOUNTAIN INN SC
29644-9712
US

IV. Provider business mailing address

139 TALL PINES RD
FOUNTAIN INN SC
29644-9712
US

V. Phone/Fax

Practice location:
  • Phone: 864-915-0384
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number31973
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: