Healthcare Provider Details

I. General information

NPI: 1942321799
Provider Name (Legal Business Name): BRYCE ANDREW NATTIER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 11/02/2026
Certification Date: 11/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22725 US HIGHWAY 76 STE 3C
CLINTON SC
29325-7527
US

IV. Provider business mailing address

300 E MCBEE AVE FL 4
GREENVILLE SC
29601-2842
US

V. Phone/Fax

Practice location:
  • Phone: 864-833-3852
  • Fax: 864-938-0501
Mailing address:
  • Phone: 864-522-2286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number63379
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number01073856A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number84915
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: