Smith, Bryan Wesley
Smith, Bryan Wesley is an individual health care provider with primary practice located at 1409 Devine St , Columbia SC 29208-3902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Smith, Bryan Wesley can be contacted via phone (803) 777-2913.Contact Information
Primary practice address
1409 Devine St
Columbia SC 29208-3902
Phone: (803) 777-2913
Fax: (803) 777-0126
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | 34586 | South Carolina |
Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | 39745 | North Carolina |
Profile Details
NPI number | 1790045094 |
---|---|
LBN Legal business name | Smith, Bryan Wesley |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 21st, 2012 |
Last updated | May 21st, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790045094 | NPPES |
North Carolina | MEDICAID | 7977421 |
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