Individual
BRANDON KEITH WYSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-7025
(864) 560-7388
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33567
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335676
—
SC
01
—
SC16068510
MEDICARE PIN
SC
01
—
SC16069068
MEDICARE PIN
SC
Enumeration date
06/09/2011
Last updated
08/07/2023
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