Individual
ELIZABETH GRAY BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
336 GEORGIA AVE, NORTH AUGUSTA, SC 29841-3849
(803) 553-0327
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 854-6917
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2623
SC
Other
Enumeration date
09/02/2016
Last updated
01/26/2017
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