Provider Demographics
NPI:1073213393
Name:SYKES, BRANDON (RN)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:SYKES
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:958 FOWLER CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3570
Mailing Address - Country:US
Mailing Address - Phone:803-466-5362
Mailing Address - Fax:
Practice Address - Street 1:958 FOWLER CT
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3570
Practice Address - Country:US
Practice Address - Phone:803-466-5362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC254666163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse