Organization
BRYAN AND SANG MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN GASNEL M.D. (MD)
(803) 648-0874
Entity
Organization
Contact information
Practice address
209 ABBEVILLE AVE NW, AIKEN, SC 29801-3923
(803) 648-0874
(803) 648-5665
Mailing address
209 ABBEVILLE AVE NW, AIKEN, SC 29801
(803) 648-0874
(803) 648-5665
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
12145
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649357781
—
SC
Enumeration date
12/18/2013
Last updated
12/18/2013
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