Individual
CAROLYN TALBERT BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5135 CAROLINA BEACH RD, WILMINGTON, NC 28412-2516
(910) 793-1157
Mailing address
5135 CAROLINA BEACH RD, WILMINGTON, NC 28412-2516
(910) 793-1157
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2540
NC
Other
Enumeration date
08/17/2018
Last updated
10/30/2020
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