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Brian A Harbison, PA
Medical Physician Assistant in Blythewood, South Carolina
NPI 1790738086

Brian A Harbison is a Medical Physician Assistant based in Winnsboro, SC and is specialized in Medical. Brian A Harbison practices in Blythewood, SC and has the professional credentials of PA. The NPI Number for Brian A Harbison is 1790738086 and holds a License No. A594 (South Carolina).

The current practice location address for Brian A Harbison is 311 Club Colony Circle, Blythewood, SC and can be reached out via phone at 843-788-5916.

Location: 311 Club Colony Circle, Blythewood, SC, 29180-5218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790738086
Provider Name
Brian A Harbison
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
311 Club Colony Circle, Blythewood, SC, 29180-5218
Phone Number
843-788-5916
Fax Number
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A594 01 SC STATE LICENSE #
institution
Provider Business Practice Location Address Details
Address
311 Club Colony Circle
City
Blythewood
State
South Carolina
Zip
29016-8282
Phone Number
843-788-5916
Fax Number
person
Provider Business Mailing Address Details
Address
311 Club Colony Circle
City
Blythewood
State
South Carolina
Zip
29016-8282
Phone Number
843-788-5916
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
A594 (South Carolina)
Definition
Definition to come...
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