Doctor Name: | DR. MARY HAYES BRYANT |
NPI Number: | 1487992814 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | EDD, LPES |
License Number: | 2907 |
Business Practice Address: | 319 S Dargan St Florence, SC - 295062538 |
Business Phone Number: | 8432921023 |
Business Fax Number: | 8436731165 |
Mailing Address: | 319 S Dargan St, FLORENCE |
State: | SC |
Postal Code: | 295062538 |
Phone Number: | 8432921023 |
Fax Number: | 8436731165 |
NPI Enumeration Date: | 01/18/2013 |
NPI Last Update Date: | 01/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2907 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |