Individual
DR. CHRISTIE MAE BRYANT-BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1301 ELMWOOD AVE, COLUMBIA, SC 29201-2107
(803) 888-6221
Mailing address
1301 ELMWOOD AVE, COLUMBIA, SC 29201-2107
(803) 201-4282
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3390
SC
111N00000X
Chiropractor
X010849
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175965AN
PREFERRED CARE
NY
01
—
3390
SC DC LICENSE
SC
01
—
629920
AETNA
NY
01
—
9416263
PHCS
NY
01
—
PO10010849
BLUE CHOICE
NY
01
—
PO20010849
BLUE CROSS/BLUE SHIELD
NY
Enumeration date
09/25/2006
Last updated
04/09/2018
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