Bryant Lawson
Individual provider Active NPI Driver · Summerton, SC
NPI 1740767987 · NPPES record last updated Jul 20, 2018
Key facts
- NPI
- 1740767987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 2266 Saint Paul Rd
Summerton, SC 29148-7021 - Phone
- (803) 732-3518
- NPI assigned
- Jul 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | SC | ||
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
2266 Saint Paul Rd
Summerton, SC 29148-7021
Mailing address
2266 Saint Paul Rd
Summerton, SC 29148-7021
Phone (803) 732-3518
Other providers in Summerton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.