Individual
MALLORY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 THOMPSON LN STE 20400, NASHVILLE, TN 37204-4600
(615) 936-2187
Mailing address
3103 HORNBUCKLE PL, DURHAM, NC 27707-3626
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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