Individual
BRYAN I GRISSETT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
429 S 3RD ST, GADSDEN, AL 35901-5210
(256) 547-8634
(256) 547-3039
Mailing address
429 S 3RD ST, GADSDEN, AL 35901-5210
(256) 547-8634
(256) 547-3039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7330
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7330
STATE MEDICAL LICENSE
AL
Enumeration date
07/06/2006
Last updated
07/08/2007
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