IndividualActive
Portia Brooks
NPI 1679943419 · Other Technician · North Charleston, SC
Provider details
- NPI number
- 1679943419
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
5880 Rivers Ave
North Charleston, SC 29406-6053
Phone: (843) 725-4673
Fax: (843) 725-1235
Approximate (ZIP-level) locationGet directions
Mailing address
5880 Rivers Ave
North Charleston, SC 29406-6053
Registry dates
- Enumerated
- 2015-10-06
- Last updated
- 2015-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.