Individual
HALIE SHIPLEY BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1915 RANDOLPH RD, CHARLOTTE, NC 28207
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06764
NC
Other
Enumeration date
09/15/2016
Last updated
07/18/2018
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