Individual
CHARLES ESTILL BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
212A THOMPSON STREET, HENDERSONVILLE, NC 28792
(828) 697-3232
Mailing address
212A THOMPSON STREET, HENDERSONVILLE, NC 28792
(828) 697-3232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101724
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89012VP
—
NC
Enumeration date
01/31/2007
Last updated
07/08/2007
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