Individual
JIMMY BRYANT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
174 E TWELVE OAKS RD, RAEFORD, NC 28376-9601
(407) 978-9992
Mailing address
174 E TWELVE OAKS RD, RAEFORD, NC 28376-9601
(407) 978-9992
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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