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Individual

BRYAN EWING ALLF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 E 3RD AVE, GASTONIA, NC 28052-4317
(704) 874-3300
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1907
(704) 865-4614

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32919
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10925
BC/BS
NC
05
8910925
NC
Enumeration date
09/23/2005
Last updated
11/13/2025
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