Provider Demographics
NPI:1558962530
Name:BRYANT, NATHAN
Entity Type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:
Last Name:BRYANT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ANNOINTED HANDS
Other - Middle Name:
Other - Last Name:GLOBAL TRANSPORTATION, LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:519B W DARLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-2413
Mailing Address - Country:US
Mailing Address - Phone:843-409-3109
Mailing Address - Fax:843-407-7437
Practice Address - Street 1:519B W DARLINGTON ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-2413
Practice Address - Country:US
Practice Address - Phone:843-409-3109
Practice Address - Fax:843-407-7437
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)