Individual
ANNA S BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-2210
(803) 751-0450
Mailing address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-2210
(803) 751-0450
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
16267
SC
208000000X
Pediatrics Physician
Primary
16267
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16267
SC MEDICAL LIC #
SC
Enumeration date
05/30/2006
Last updated
07/09/2025
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