Individual
BRYANT PARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3250 HARDEN STREET EXT, COLUMBIA, SC 29203-6842
(803) 509-6389
Mailing address
105 FOUNDERS RIDGE RD, COLUMBIA, SC 29229-7616
(843) 250-4224
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1372
SC
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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