Individual provider · Type 1 NPI

Brent Illingworth

Student in an Organized Health Care Education/Training Program · Clemson, SC

NPI number 1053229377 Active

Practice location

735 Mcmillan Rd
Clemson, SC 29634-0001

Call (864) 656-2451 Map

Mailing address

Box 344054
Clemson, SC 29634-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053229377

Brent Illingworth's National Provider Identifier is 1053229377, issued on Aug 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Clemson, SC. The record was last updated on Sep 9, 2026.