Individual
MR. GEORGE BURTON BRYANT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
9016 SENECA TRL S, RONCEVERTE, WV 24970-8375
(681) 318-3477
(681) 318-3479
Mailing address
208 DAWKINS DRIVE, LEWISBURG, WV 24901
(304) 645-7227
(681) 318-3479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
172
WV
363AM0700X
Medical Physician Assistant
Primary
508
WV
Other
Enumeration date
11/02/2005
Last updated
12/03/2024
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