Individual
DR. PHYLLIS MARIE BRYANT-MOBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1735 SAINT JULIAN PL STE 102, COLUMBIA, SC 29204-2402
(803) 497-9611
(803) 764-2003
Mailing address
1735 SAINT JULIAN PL STE 102, COLUMBIA, SC 29204-2402
(803) 497-9611
(803) 764-2003
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20798
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207984
—
SC
Enumeration date
09/13/2005
Last updated
07/16/2020
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