Individual
LISA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
16 ROBERTS BLVD, WILLIAMSTON, SC 29697-1136
(864) 847-7323
(864) 847-7543
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 646-7522
(864) 646-3377
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN2781
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1043
—
SC
Enumeration date
10/11/2006
Last updated
03/08/2021
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