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Individual

DR. ELIZABETH MAGUIRE BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
21 HUGHES ROAD, SUITE 2, MADISON, AL 35758-3040
(256) 772-2037
(256) 772-9523
Mailing address
21 HUGHES ROAD, SUITE 2, MADISON, AL 35758-3040
(256) 772-2037
(256) 772-9523

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101235529
VA
208000000X
Pediatrics Physician
Primary
29126
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010186609
VA
Enumeration date
08/24/2006
Last updated
09/27/2011
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