Individual
TIM BRYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 NATIONAL GUARD RD, APT 813B, COLUMBIA, SC 29201-4765
(513) 368-9144
Mailing address
21 NATIONAL GUARD RD, APT 813B, COLUMBIA, SC 29201-4765
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
103069772
SC
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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