Individual
BRYANT LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2266 SAINT PAUL RD, SUMMERTON, SC 29148-7021
(803) 732-3518
Mailing address
2266 SAINT PAUL RD, SUMMERTON, SC 29148-7021
(803) 732-3518
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
SC
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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