Individual
BRIANA FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1730 HENDERSON ST STE C, COLUMBIA, SC 29201-2648
(803) 256-5591
Mailing address
7 FENWICK CT, COLUMBIA, SC 29223-8250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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