Individual
BRYAN THOMAS MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
2225 MYRTLEWOOD DR, VESTAVIA HILLS, AL 35216-5123
(703) 303-6159
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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