Individual
MR. BRADLEY HARRISON-SETH QUARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 935-8292
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
245632
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
27497
SD
Other
Enumeration date
06/01/2021
Last updated
01/16/2024
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