Bryant, Lisa Henderson

Bryant, Lisa Henderson is an individual health care provider with primary practice located at 15 Medical Park Rd Suite 300, Columbia SC 29203-8003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Bryant, Lisa Henderson can be contacted via phone (803) 255-3417.

Contact Information

Primary practice address
15 Medical Park Rd Suite 300 Columbia SC 29203-8003
Phone: (803) 255-3417
Fax: (803) 255-3451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 13570 South Carolina
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 13570 South Carolina

Profile Details

NPI number 1821065921
LBN Legal business name Bryant, Lisa Henderson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821065921 NPPES
South Carolina MEDICAID 135703

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