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NPI Code Detail

MEDICARE: BRANDY MARSHAY MORTON NP

MEDICARE: BRANDY MARSHAY MORTON NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner238279SC

General Provider Information

NPI Number : 1669048484
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDY MARSHAY MORTON NP
Provider Business Mailing Address
First Line : 104 WELLS AVE
Second Line :
City : GREENWOOD
State : SC
Zip : 29646-3837
Country : US
Telephone Number : 864-725-4673
Fax Number : 864-725-7424
Provider Business Practice Location Address
First Line : 160 ACADEMY AVE
Second Line :
City : GREENWOOD
State : SC
Zip : 29646-3808
Country : US
Telephone Number : 864-223-8090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2021
Last Update Date : 03/04/2026

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