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Individual

DR. BRIAN N HENRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6 COLLEGE ST, DUE WEST, SC 29639-9554
(864) 379-2345
(864) 379-3228
Mailing address
PO BOX 638, DUE WEST, SC 29639-0638
(864) 379-2345
(864) 379-3228

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13965
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LL6786
SC
Enumeration date
12/14/2005
Last updated
03/01/2011
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