Green, Bryan T
Green, Bryan T is an individual health care provider with primary practice located at 103 Liner Dr , Greenwood SC 29646-2311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Green, Bryan T can be contacted via phone (864) 227-3636.Contact Information
Primary practice address
103 Liner Dr
Greenwood SC 29646-2311
Phone: (864) 227-3636
Fax: (864) 227-6116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 26714 | South Carolina |
Profile Details
| NPI number | 1861485963 |
|---|---|
| LBN Legal business name | Green, Bryan T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Jan 28th, 2022 - about 4 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 | 1861485963 | NPPES |
| South Carolina | MEDICAID | 267142 |
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