Individual
PAULETTE C BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
301 HAWTHORNE LN, SUITE 100, CHARLOTTE, NC 28204-2450
(704) 384-1900
(704) 384-1919
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-1900
(704) 384-1919
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
200501171
NC
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
200501171
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902306
—
NC
05
—
N01178
—
SC
Enumeration date
10/10/2005
Last updated
10/28/2020
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