Individual
MORGAN SLATON BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 227-8242
Mailing address
127 PIN OAK DR, GREENWOOD, SC 29649-1683
(803) 786-2844
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
98146
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
17500
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087148
CRNA CERTIFICTION
—
01
—
17500
SC APRN LICENSE
SC
05
—
AN2147
—
SC
01
—
P00950622
RAILROAD MEDICARE
SC
Enumeration date
01/31/2011
Last updated
01/24/2012
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