| Lisa Bryant, APRN | |
|
16 Roberts Blvd, Williamston, SC 29697-1136 | |
| (864) 847-7323 | |
| (864) 847-7543 |
| Full Name | Lisa Bryant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 16 Roberts Blvd, Williamston, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679661748 | NPI | - | NPPES |
| NP1043 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN2781 (South Carolina) | Primary |
| Entity Name | Cannon Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750304135 PECOS PAC ID: 8123930666 Enrollment ID: O20031103000506 |
| Entity Name | Anmed Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639102270 PECOS PAC ID: 1951215243 Enrollment ID: O20040130000302 |
| Entity Name | Anmed Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164746392 PECOS PAC ID: 1951215243 Enrollment ID: O20040315000478 |
| Entity Name | Cannon Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700890084 PECOS PAC ID: 8123930666 Enrollment ID: O20040315000489 |
| Entity Name | Anmed Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005727 PECOS PAC ID: 1951215243 Enrollment ID: O20040723000885 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Bryant, APRN Po Box 100174, Columbia, SC 29202-3174 Ph: (864) 646-7522 | Lisa Bryant, APRN 16 Roberts Blvd, Williamston, SC 29697-1136 Ph: (864) 847-7323 |
Sarah Nicole Roper Cornell, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Wesley Ellison Rd, Williamston, SC 29697 Phone: 864-617-5532 | |
Caitlyn Mills, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 197 Hickory Rd, Williamston, SC 29697 Phone: 864-933-2996 | |
Mrs. Tammy Mcconnell, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 409 Gossett Dr, Williamston, SC 29697 Phone: 864-617-1144 | |
Mrs. Kimberly J Hair, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16 Roberts Blvd, Williamston, SC 29697 Phone: 864-512-5800 Fax: 864-512-5292 |