Provider Demographics
NPI:1700031200
Name:BRYSON HEALTHCARE INC.
Entity Type:Organization
Organization Name:BRYSON HEALTHCARE INC.
Other - Org Name:MONCKS CORNER CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:B
Authorized Official - Last Name:BRYSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-899-9245
Mailing Address - Street 1:484 N HIGHWAY 52
Mailing Address - Street 2:SUTE 105
Mailing Address - City:MONCKS CORNER
Mailing Address - State:SC
Mailing Address - Zip Code:29461-3964
Mailing Address - Country:US
Mailing Address - Phone:843-899-9245
Mailing Address - Fax:843-899-9247
Practice Address - Street 1:484 N HIGHWAY 52
Practice Address - Street 2:SUTE 105
Practice Address - City:MONCKS CORNER
Practice Address - State:SC
Practice Address - Zip Code:29461-3964
Practice Address - Country:US
Practice Address - Phone:843-899-9245
Practice Address - Fax:843-899-9247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3364111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty