Individual
BRYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 COMMONWEALTH DR, GREENVILLE, SC 29615-4812
(864) 675-4000
Mailing address
350 ROCK RD, GREER, SC 29651-6858
(864) 423-0871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
228794
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
25094
SC
Other
Enumeration date
02/21/2021
Last updated
01/30/2025
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