Individual
THOMAS D BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5535 PLATT SPRINGS RD, LEXINGTON, SC 29073-7519
(803) 951-1880
(803) 951-0384
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38340
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SC8443
—
SC
Enumeration date
05/05/2015
Last updated
10/15/2020
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