Individual
DR. LISA HENDERSON BRYANT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 MEDICAL PARK RD, SUITE 300, COLUMBIA, SC 29203-8003
(803) 255-3417
(803) 255-3451
Mailing address
15 MEDICAL PARK RD, SUITE 300, COLUMBIA, SC 29203-8003
(803) 255-3417
(803) 255-3451
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
13570
SC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
13570
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135703
—
SC
Enumeration date
03/07/2006
Last updated
09/11/2025
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