Bryant, Earl W

Bryant, Earl W is an individual health care provider with primary practice located at 1346 Haile St , Camden SC 29020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bryant, Earl W can be contacted via phone (803) 432-1931.

Contact Information

Primary practice address
1346 Haile St Camden SC 29020
Phone: (803) 432-1931
Fax: (803) 432-1176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9561 South Carolina

Profile Details

NPI number 1639179591
LBN Legal business name Bryant, Earl W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Feb 19th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639179591 NPPES
South Carolina MEDICAID 095612

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