Gaunt, Bryce Willard
Gaunt, Bryce Willard is an individual health care provider with primary practice located at 2300 Manchester Expy Suite 101B, Columbus GA 31904-6802. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gaunt, Bryce Willard can be contacted via phone (706) 256-0825.Contact Information
Primary practice address
2300 Manchester Expy Suite 101B
Columbus GA 31904-6802
Phone: (706) 256-0825
Fax: (706) 256-0830
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3680 | Georgia |
Profile Details
NPI number | 1255374096 |
---|---|
LBN Legal business name | Gaunt, Bryce Willard |
Credentials | P.T., SCS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255374096 | NPPES |
Georgia | Other | 3680 | GEORGIA STATE LICENSE |
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