Organization
ELIZABETH D BRYAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL PHIPPS (BLLING CLERK)
(910) 592-8243
Entity
Organization
Contact information
Practice address
603 BEAMAN ST STE 402, CLINTON, NC 28328-2689
(910) 592-8243
(910) 592-1552
Mailing address
603 BEAMAN ST STE 402, CLINTON, NC 28328-2689
(910) 592-8243
(910) 592-1552
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
200400646
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89137XR
—
NC
Enumeration date
11/28/2007
Last updated
11/28/2007
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