Individual
BRIAN CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NREMTB
Contact information
Practice address
200 UNIVERSITY RDG, GREENVILLE, SC 29601-3635
(864) 372-3270
Mailing address
107 PATIO RD, EASLEY, SC 29642-2815
(864) 444-8839
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
SC032415
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC032415
EMT
SC
Enumeration date
10/13/2021
Last updated
10/13/2021
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