Individual
BRYAN PATRICK FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7900 N KINGS HWY, MYRTLE BEACH, SC 29572-3055
(843) 449-3381
(843) 629-9621
Mailing address
7900 N KINGS HWY, MYRTLE BEACH, SC 29572-3055
(843) 449-3381
(843) 629-9621
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
19562
SC
367500000X
Certified Registered Nurse Anesthetist
93677
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962843755
—
NC
Enumeration date
07/10/2013
Last updated
06/01/2020
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