Individual provider · Type 1 NPI
Brooke Scupp
Medical Physician Assistant · Irmo, SC
NPI number
1093309668
Active
Practice location
473 Woodhouse Loop
Irmo, SC 29063-7781
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Irmo
About NPI 1093309668
Brooke Scupp's National Provider Identifier is 1093309668, issued on Feb 24, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Irmo, SC. The record was last updated on Feb 24, 2021.