Tim Bryson
Student in an Organized Health Care Education/Training Program in Columbia, SC. Individual provider (NPI-1).
NPI number1013317841
StatusActive
Last updated in NPPESAug 29, 2014
Details
- NPI
- 1013317841
- Entity type
- Individual (NPI-1)
- Name
- Tim Bryson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 29, 2014
- Last updated
- Aug 29, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 103069772 | SC | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
21 National Guard RdApt 813b
Columbia, SC 29201-4765
Phone 513-368-9144
Mailing address
21 National Guard RdApt 813b
Columbia, SC 29201-4765
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