Individual
MR. BRYAN K ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1565 EBENEZER ROAD, ROCK HILL, SC 29732
(803) 328-0168
(803) 325-8473
Mailing address
1565 EBENEZER ROAD, ROCK HILL, SC 29732
(803) 328-0168
(803) 325-8473
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13734
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137346
—
SC
Enumeration date
12/06/2005
Last updated
10/17/2007
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