Individual
MR. ROBERT RAY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
204 W HILL BLVD, CHARLESTON AFB, SC 29404-4704
(843) 963-6790
Mailing address
303 KYLE CT, SUMMERVILLE, SC 29485-8034
(843) 993-6790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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