| Brooke Scupp, | |
|
473 Woodhouse Loop, Irmo, SC 29063-7781 | |
| (803) 422-3754 | |
| Not Available |
| Full Name | Brooke Scupp |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 473 Woodhouse Loop, Irmo, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093309668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Scupp, 473 Woodhouse Loop, Irmo, SC 29063-7781 Ph: (803) 422-3754 | Brooke Scupp, 473 Woodhouse Loop, Irmo, SC 29063-7781 Ph: (803) 422-3754 |
Kimberly Dunbar Cooney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050 | |
Ms. Cynthia Denise Hutson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050 | |
Mrs. Cassandra Nicole Parra-ferro, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Wellness Blvd, Suite 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050 | |
Lisa Creswell Myrick, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050 | |
Virginia Elizabeth Hyatt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1846 Dutch Fork Rd, Irmo, SC 29063 Phone: 803-781-5200 Fax: 803-781-3843 | |
Stephanie C Peterson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050 |