Organization
VIRGIL BRYANT MANAGEMENT
Active
Other names
BRYANT CLINICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGIL JACKSON BRYANT D.C. (OPWNER/DR.)
(337) 367-2567
Entity
Organization
Contact information
Practice address
800 W MAIN ST, NEW IBERIA, LA 70560-3536
(337) 367-2567
(337) 367-2578
Mailing address
800 W MAIN ST, NEW IBERIA, LA 70560-3536
(337) 367-2567
(337) 367-2578
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
155
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548237001
BLUE CROSS BLUE SHILED OF LA
LA
Enumeration date
10/08/2010
Last updated
10/08/2010
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