Individual
RONNI BYRD-BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 MILL ST, CAMDEN, SC 29020-3763
(803) 354-8065
Mailing address
PO BOX 90037, COLUMBIA, SC 29290-1037
(803) 354-8065
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
SELF PAY
—
Enumeration date
06/08/2021
Last updated
06/08/2021
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