Healthcare Provider Details

I. General information

NPI: 1225092059
Provider Name (Legal Business Name): BRYAN LAWRENCE OHNING M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 GROVE RD GREENVILLE HOSPITAL SYSTEM, NEONATOLOGY DEPT.
GREENVILLE SC
29605-5611
US

IV. Provider business mailing address

701 GROVE RD GREENVILLE HOSPITAL SYSTEM, NEONATOLOGY DEPT.
GREENVILLE SC
29605-5611
US

V. Phone/Fax

Practice location:
  • Phone: 864-455-7939
  • Fax: 864-455-3685
Mailing address:
  • Phone: 864-455-7939
  • Fax: 864-455-3685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number13907
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: