Individual
BRANT ASHTON MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT(R)(CT), ARRT
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
148 MESA VERDE DR, LEXINGTON, SC 29073-6893
(803) 315-1633
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
467850
SC
2471C3402X
Radiography Radiologic Technologist
467850
SC
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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