Individual
DR. STEVEN BRADLEY TOLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 THURGOOD MARSHALL HWY STE B, KINGSTREE, SC 29556-4108
(843) 355-5628
(843) 355-5616
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22300
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223001
—
SC
Enumeration date
03/17/2006
Last updated
09/16/2020
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