Bryan, Charles E

Bryan, Charles E is an individual health care provider with primary practice located at 901 18Th St E , Tifton GA 31794-3648. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bryan, Charles E can be contacted via phone (229) 353-6208.

Contact Information

Primary practice address
901 18Th St E Tifton GA 31794-3648
Phone: (229) 353-6208
Fax: (229) 353-7722
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 055184 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 55184 Georgia

Profile Details

NPI number 1649282575
LBN Legal business name Bryan, Charles E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Mar 2nd, 2020 - about 5 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 1649282575 NPPES
Georgia Other 055184 GEORGIA LICENSE NUMBER

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