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Bryan Ellenberg, MD
NPI 1922092345 · on the registry since 2005
Practice
- Address
- 1228 Highway 72 W
Greenwood, SC 29649 - Phone
- (864) 943-0549
- Fax
- (864) 227-2067
- Organisation at this address
- Self Medical Group
Self Regional Healthcare
Self Regional HealthcareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina