Harrison, Charles Bradley

Harrison, Charles Bradley is an individual health care provider with primary practice located at 1330 Boiling Springs Rd Suite 1600, Spartanburg SC 29303. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Harrison, Charles Bradley can be contacted via phone (864) 582-6396.

Contact Information

Primary practice address
1330 Boiling Springs Rd Suite 1600 Spartanburg SC 29303
Phone: (864) 582-6396
Fax: (864) 582-1608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1028 South Carolina

Profile Details

NPI number 1528079183
LBN Legal business name Harrison, Charles Bradley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Feb 24th, 2014 - about 11 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 1528079183 NPPES
South Carolina MEDICAID 0408PA

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