Individual
NICHOLE LEIGH BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 W FARIS RD, 2ND FLOOR, GREENVILLE, SC 29605-4255
(864) 455-8898
(864) 455-5164
Mailing address
1 INDEPENDENCE PT SUITE 212, GREENVILLE, SC 29615-4536
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
30716
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307162
—
SC
Enumeration date
08/21/2006
Last updated
03/01/2018
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