Individual
MR. CHARLES WILLIAM BRYANT III III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
600 E ORDNANCE RD, GLEN BURNIE, MD 21060-2200
(410) 222-4939
(410) 222-6364
Mailing address
600 E ORDNANCE RD, GLEN BURNIE, MD 21060-2200
(410) 222-4939
(410) 222-6364
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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