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Individual

BRYAN COLE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-2555
(336) 713-2539
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-2555
(336) 713-2539

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
177619
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1598877623
NPI
NC
05
8052396
NC
01
P00273021
RR MEDICARE
Enumeration date
08/31/2006
Last updated
02/04/2011
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