Individual
JAMERSON BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 MILITARY DR, CHATHAM, VA 24531-4683
(434) 944-4126
Mailing address
370 HUNTERS MILL LN, EVINGTON, VA 24550-4281
(434) 944-4126
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003030
VA
225700000X
Massage Therapist
0019012885
VA
Other
Enumeration date
01/25/2018
Last updated
11/18/2019
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