Provider Demographics
NPI:1336434422
Name:BRINSON, BETSY ERIN
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:ERIN
Last Name:BRINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 CENTRAL DR
Mailing Address - Street 2:SUITE #201
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-4169
Mailing Address - Country:US
Mailing Address - Phone:919-775-8183
Mailing Address - Fax:
Practice Address - Street 1:1212 CENTRAL DR
Practice Address - Street 2:SUITE #201
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4169
Practice Address - Country:US
Practice Address - Phone:919-775-8130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21707183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist