Individual
BRIAN DAVID LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 PENDLETON ST STE 10, GREENVILLE, SC 29601-3232
(864) 250-0607
(864) 720-1767
Mailing address
811 PENDLETON ST STE 10, GREENVILLE, SC 29601-3232
(864) 250-0607
(864) 720-1767
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
126620
AK
207Q00000X
Family Medicine Physician
2019-00062
NC
207Q00000X
Family Medicine Physician
20203
MS
207Q00000X
Family Medicine Physician
Primary
28309
SC
207Q00000X
Family Medicine Physician
52174
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC4927L064
MEDICARE
SC
Enumeration date
03/29/2007
Last updated
06/26/2025
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