Individual
DR. BRYAN K ELLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1228 HIGHWAY 72 W, GREENWOOD, SC 29649-1816
(864) 943-0549
(864) 227-2067
Mailing address
1228 HWY 72 WEST, GREENWOOD, SC 29649-1816
(864) 943-0549
(864) 227-2067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17276
SC
Other
Enumeration date
08/31/2005
Last updated
12/21/2021
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