Individual
MIRANDA Y BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 COLLEGE ST, CLINTON, NC 28328-3503
(910) 592-4507
(910) 592-4494
Mailing address
707 COLLEGE ST, CLINTON, NC 28328-3503
(910) 592-4507
(910) 592-4494
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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