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Individual

HERBIE SEYMOUR BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2701 CHURCH ST, STE D, CONWAY, SC 29526-4422
(843) 234-6888
(843) 234-6889
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
200101019
NC
207RP1001X
Pulmonary Disease Physician
Primary
32149
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
132NO
BCBS
NC
05
1427039726
NC
05
321495
SC
05
89132NO
NC
Enumeration date
11/14/2005
Last updated
11/29/2024
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