Individual
CHARLES BARRON BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
165 ASHLEY AVE, CHARLESTON, SC 29425-8905
(828) 691-5105
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
LL40714
SC
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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