Individual
GINGER L BRISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 876-5746
Mailing address
25 COURTENAY DRIVE, CHARLESTON, SC 29425
(843) 810-8290
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
74390
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1103
—
SC
Enumeration date
10/23/2006
Last updated
05/13/2024
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