Healthcare Provider Details

I. General information

NPI: 1043047665
Provider Name (Legal Business Name): SHERELLE BROWNING SCP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2024
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 ALVIN DR # B
GREENVILLE SC
29605-2201
US

IV. Provider business mailing address

2607 WOODRUFF RD STE E1052
SIMPSONVILLE SC
29681-4803
US

V. Phone/Fax

Practice location:
  • Phone: 214-216-2015
  • Fax:
Mailing address:
  • Phone: 214-216-2015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License Number91913
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: