Individual
JEFF A BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 STADIUM DR, HATTIESBURG, MS 39401-4155
(601) 582-2526
Mailing address
701 STADIUM DR, HATTIESBURG, MS 39401-4155
(601) 582-2526
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0068
MS
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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