Individual
AMY LOCKLEAR BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
110 N PATTERSON ST, MAXTON, NC 28364-1735
(910) 774-6078
Mailing address
110 N PATTERSON ST, MAXTON, NC 28364-1735
(910) 774-6078
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC3907
NC
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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