Individual
VICKI BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
365 BROOKDALE DR, STATESVILLE, NC 28677-4103
(704) 872-3630
(704) 872-0049
Mailing address
365 BROOKDALE DR, STATESVILLE, NC 28677-4103
(704) 872-3630
(704) 872-0049
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100062
NC
Other
Enumeration date
04/10/2006
Last updated
01/18/2011
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