Organization
PAT D BRYANT,MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAT D BRYANT MD (PRESIDENT)
(229) 985-4800
Entity
Organization
Contact information
Practice address
4 MAGNOLIA CT, MOULTRIE, GA 31768-6774
(229) 985-4800
Mailing address
4 MAGNOLIA CT, MOULTRIE, GA 31768-6774
(229) 985-4800
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
052536
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP6177
MEDICARE GROUP ID
GA
Enumeration date
11/16/2007
Last updated
11/30/2007
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