Individual
DR. STEPHEN R BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
514 W ATLANTIC ST, SOUTH HILL, VA 23970-1906
(434) 447-6969
(434) 447-8173
Mailing address
514 W ATLANTIC ST, SOUTH HILL, VA 23970-1906
(434) 447-6969
(434) 447-8173
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101026281
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007610327
—
VA
05
—
007610874
—
VA
05
—
010288134
—
VA
05
—
1073589677
—
VA
Enumeration date
02/24/2006
Last updated
11/09/2012
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