Individual
MR. RONNIE FISHER MCBRYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-8752
(843) 777-8705
Mailing address
PO BOX 100551, FLORENCE, SC 29501-0551
(843) 777-8752
(843) 777-8705
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN836
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0296
—
SC
01
—
APN836
NURSING LICENSE
SC
Enumeration date
03/20/2006
Last updated
05/16/2017
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