Individual
MR. BRYAN COLE CHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2131 S 17TH STREET, WILMINGTON, NC 28401
(910) 667-5831
Mailing address
7612 CULLODEN COURT, WILMINGTON, NC 28411
(252) 414-0453
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
91147
NC
Other
Enumeration date
09/19/2012
Last updated
03/12/2021
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