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Individual
HENRY GREENE BRYANT III
Active
Individual
HENRY GREENE BRYANT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000710
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00232658C
—
GA
01
—
3839091
MEDICARE NSC
GA
01
—
480026650
RAILROAD MEDICARE
GA
01
—
48SCBZR
MEDICARE
GA
01
—
52473102
BLUE CROSS BLUE SHIELD
GA
Enumeration date
04/20/2006
Last updated
07/24/2015
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