Individual
DR. PETER BRYANT-GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5909 WEST LOOP S STE 330, BELLAIRE, TX 77401-2498
(833) 749-8378
Mailing address
1201 TOWN PARK LN FL 3, EVANS, GA 30809-3481
(833) 749-8378
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
11148
HI
207ZP0101X
Anatomic Pathology Physician
11148
HI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
11148
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669416806
—
CO
Enumeration date
06/16/2006
Last updated
05/15/2019
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