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Individual

BRIAN ALTON MESIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 LADY ST, COLUMBIA, SC 29201-3402
(803) 779-1995
Mailing address
1500 LADY ST, COLUMBIA, SC 29201-3402
(803) 779-1995

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6444
SC

Other

Enumeration date
11/09/2018
Last updated
11/09/2018
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