Healthcare Provider Details

I. General information

NPI: 1811813843
Provider Name (Legal Business Name): BRYANNA MARJORIE SPURLOCK-BELLOR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2670 MILLS PARK DR STE 200
ROCK HILL SC
29732-5005
US

IV. Provider business mailing address

2505 VETERAN LN APT 3221
CHARLOTTE NC
28205-1980
US

V. Phone/Fax

Practice location:
  • Phone: 803-985-3939
  • Fax:
Mailing address:
  • Phone: 269-808-2355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number385488
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: