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Individual

DR. MICHAEL LEE BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
205 HOSPITAL DR STE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459
Mailing address
205 HOSPITAL DR, STE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD35345
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103G706510
MEDICARE GROUP
TN
01
3380640
MEDICARE GROUP
TN
05
3874136
TN
Enumeration date
05/24/2005
Last updated
04/30/2018
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