Individual
KALLIE WHALEY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
99 WESTEDGE ST APT 326, CHARLESTON, SC 29403-4985
(910) 296-3351
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27082
SC
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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