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Individual

DR. RANDOLPH CHARLES BRYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1350 GROVE PARK DR, ORANGEBURG, SC 29115-2455
(803) 387-0682
Mailing address
123 WICKLOW DR, BLUFFTON, SC 29910-7329
(215) 813-0819

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4977
NV
1223G0001X
General Practice Dentistry
Primary
9218
SC

Other

Enumeration date
01/17/2009
Last updated
11/06/2018
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