Individual
MR. DANIEL JUSTIN BRYAN-LEDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
900 OLD WINSTON RD, SUITE 116, KERNERSVILLE, NC 27284-9965
(336) 992-0491
(336) 450-1722
Mailing address
900 OLD WINSTON RD, SUITE 116, KERNERSVILLE, NC 27284-9965
(336) 992-0491
(336) 450-1722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02688
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102835
—
NC
Enumeration date
12/29/2010
Last updated
11/07/2024
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