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Individual
JAMES EARL BRYANT
Active
Individual
JAMES EARL BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009-00343
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCA619A
MEDICARE PTAN
NC
01
—
NCA619B
MEDICARE PTAN
NC
01
—
NCA619C
MEDICARE PTAN
NC
01
—
NCA619D
MEDICARE PTAN
NC
Enumeration date
09/21/2006
Last updated
01/07/2022
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