Individual
DR. CHARLES STONE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 MEDICAL PARK RD, SUITE 502, COLUMBIA, SC 29203-6808
(803) 540-1000
(803) 540-1079
Mailing address
2 MEDICAL PARK RD, SUITE 502, COLUMBIA, SC 29203-6808
(803) 540-1000
(803) 540-1079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7126
SC
207RI0200X
Infectious Disease Physician
Primary
7126
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071264
—
SC
Enumeration date
03/08/2006
Last updated
04/24/2008
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