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Individual

MICHAEL SINCLAIR BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
611 N BERKELEY BLVD STE A, GOLDSBORO, NC 27534-3468
(919) 778-9662
(919) 778-9930
Mailing address
5959 TRIANGLE TOWN BLVD, SUITE 2001, RALEIGH, NC 27616-3268
(919) 792-2345
(919) 792-2429

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
1113
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89-09494
NC
Enumeration date
05/15/2006
Last updated
03/22/2012
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