Individual
BRYAN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2 MEDICAL PARK RD, COLUMBIA, SC 29203-6808
(727) 643-2589
Mailing address
2 MEDICAL PARK RD, COLUMBIA, SC 29203-6808
(803) 434-5465
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1193
SC
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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