Individual
CARSON BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
JD, PRSS
Contact information
Practice address
2333 MACCORKLE AVE, SAINT ALBANS, WV 25177-2073
(681) 205-8548
(855) 888-9316
Mailing address
2333 MACCORKLE AVE, SAINT ALBANS, WV 25177-2073
(681) 205-8548
(855) 888-9316
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
21-971
WV
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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