Individual
JONATHAN ALDEN BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
GRAND STRAND MEDICAL CENTER, 809 82ND PARKWAY, MYRTLE BEACH, SC 29572
(843) 692-1752
Mailing address
5291 HAPPY HOLLOW RD, DUNWOODY, GA 30360-1261
(832) 477-4745
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
87286
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
SC
Other
Enumeration date
03/26/2020
Last updated
06/12/2023
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