Individual
MR. WAYNE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
600 MOYE BLVD, LEO JENKINS CANCER CENTER, GREENVILLE, NC 27834-4300
(252) 744-2383
(252) 744-3565
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101167
NC
Other
Enumeration date
12/20/2005
Last updated
07/08/2007
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