Bryant-Mobley, Phyllis Marie
Bryant-Mobley, Phyllis Marie is an individual health care provider with primary practice located at 1735 Saint Julian Pl Ste 102 , Columbia SC 29204-2402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Bryant-Mobley, Phyllis Marie can be contacted via phone (803) 497-9611.Contact Information
Primary practice address
1735 Saint Julian Pl Ste 102
Columbia SC 29204-2402
Phone: (803) 497-9611
Fax: (803) 764-2003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 20798 | South Carolina |
Profile Details
| NPI number | 1902891294 |
|---|---|
| LBN Legal business name | Bryant-Mobley, Phyllis Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jul 16th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902891294 | NPPES |
| South Carolina | MEDICAID | 207984 |
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