Moon, Bryan Scott

Moon, Bryan Scott is an individual health care provider with primary practice located at 200 Patewood Dr Suite C100, Greenville SC 29615-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Moon, Bryan Scott can be contacted via phone (864) 454-4260.

Contact Information

Primary practice address
200 Patewood Dr Suite C100 Greenville SC 29615-3593
Phone: (864) 454-4260
Fax: (864) 676-0898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 23261 South Carolina

Profile Details

NPI number 1821060336
LBN Legal business name Moon, Bryan Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated May 3rd, 2008 - about 16 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 1821060336 NPPES
South Carolina MEDICAID T73603
South Carolina Other 200044388
South Carolina Other 576007863201

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