Individual
DR. EDWARD E BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 VETERANS MEMORIAL DR, KOSCIUSKO, MS 39090-3858
(662) 289-9155
(662) 289-7752
Mailing address
864 WILSON DR, SUITE C, RIDGELAND, MS 39157-4512
(601) 206-6100
(601) 206-6052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
07286
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00127015
—
MS
05
—
09016283
—
MS
Enumeration date
01/05/2007
Last updated
04/28/2014
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