Individual
DR. CORY A BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3052
Mailing address
950 W FARIS RD, GREENVILLE, SC 29605-4255
(864) 721-3444
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
82165
GA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
82165
GA
207XP3100X
Pediatric Orthopaedic Surgery Physician
MD52054
SC
Other
Enumeration date
06/25/2013
Last updated
04/03/2019
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