Organization
ALVIN BRYANT, MD PCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA BRYANT (OWNER)
(757) 380-8603
Entity
Organization
Contact information
Practice address
2000 KECOUGHTAN RD, HAMPTON, VA 23661-3260
(757) 380-8603
(757) 380-5546
Mailing address
2000 KECOUGHTAN RD, HAMPTON, VA 23661-3260
(757) 380-8603
(757) 380-5546
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
010102571
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295828531
1295828531
VA
Enumeration date
01/18/2010
Last updated
01/18/2010
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