Individual
TAMIKA BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1136 KINCAID BRIDGE RD, STE. A, WINNSBORO, SC 29180-7116
(803) 635-1052
(803) 217-9724
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 733-5969
(803) 753-5591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20168
SC
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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