Individual
DR. CANDACE VICTORIA BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3020 HAMAKER CT, SUITE #400, FAIRFAX, VA 22031-2238
(703) 876-0800
(703) 876-0866
Mailing address
3020 HAMAKER CT, SUITE #400, FAIRFAX, VA 22031-2238
(703) 876-0800
(703) 876-0866
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
0101242056
VA
2084N0400X
Neurology Physician
Primary
010124056
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376750133
—
VA
Enumeration date
05/17/2007
Last updated
06/08/2022
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