Provider Demographics
NPI:1437900636
Name:BRIGHT, DARIN LEE
Entity Type:Individual
Prefix:
First Name:DARIN
Middle Name:LEE
Last Name:BRIGHT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 ZIMMERMAN RD
Mailing Address - Street 2:
Mailing Address - City:LYMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29365-9612
Mailing Address - Country:US
Mailing Address - Phone:864-505-4538
Mailing Address - Fax:
Practice Address - Street 1:629 ZIMMERMAN RD
Practice Address - Street 2:
Practice Address - City:LYMAN
Practice Address - State:SC
Practice Address - Zip Code:29365-9612
Practice Address - Country:US
Practice Address - Phone:864-505-4538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC016657171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications