Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 19498 | SC |
NPI | 1053377507 |
---|---|
Provider Name | Dr. Bryan H Frain |
First Address | Charlotte, NC 28275-1649 |
Second Address | Mt Pleasant, SC 29464-3630 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 20/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
194989 | (05) | SC |