Bryan, Alvin B

Bryan, Alvin B is an individual health care provider with primary practice located at 1520 N Leg Rd , Augusta GA 30909-4332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bryan, Alvin B can be contacted via phone (706) 869-3121.

Contact Information

Primary practice address
1520 N Leg Rd Augusta GA 30909-4332
Phone: (706) 869-3121
Fax: (706) 869-3126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 032138 Georgia

Profile Details

NPI number 1417000100
LBN Legal business name Bryan, Alvin B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Aug 5th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417000100 NPPES
Georgia Other 100030 BSBS OF GEORGIA
Georgia Other 52062030 BSBS OF GEORGIA
Georgia MEDICAID G32138 BSBS OF GEORGIA
Georgia Other 10040078 BSBS OF GEORGIA
Georgia MEDICAID 175227350A BSBS OF GEORGIA

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