Individual
DR. ISAAC GENE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1330 CEDAR LN STE 700, TULLAHOMA, TN 37388-3276
(931) 455-7400
(931) 455-6344
Mailing address
1330 CEDAR LN STE 700, TULLAHOMA, TN 37388-3276
(931) 455-7400
(931) 455-6344
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
11133432-1204
UT
207N00000X
Dermatology Physician
Primary
3897
TN
207ND0101X
MOHS-Micrographic Surgery Physician
3897
TN
Other
Enumeration date
05/29/2013
Last updated
01/22/2020
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