Individual
MS. BRIANNA NICOLE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4350 US 421 S, LILLINGTON, NC 27546-6760
(910) 893-1210
Mailing address
4905 HALBERD CT, RALEIGH, NC 27613-6088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11523
NC
Other
Enumeration date
01/06/2021
Last updated
09/28/2021
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