Bryant Family Medical Clinic, P.A.
Medical Specialty Clinic/Center in Bryant, AR(View on Map)
Legal Business Name
Bryant Family Medical Clinic, P.A.
NPI Number
1073640769
NPI Type
Organization
Enumeration Date
02/28/2007
Specialties
(Taxonomies)Licenses
State
Arkansas
License Number
MC2196
Contact
Information
Purpose
Mailing
Location
Address
408 OFFICE PARK DR STE 3
408 OFFICE PARK DR STE 3
City
Bryant
Bryant
State
AR
AR
Postal Code
72022-7536
72022-7536
Country
US
US
Telephone Number
(501) 847-2835
(501) 847-2835
Authorized Official
Name
Gaelle Bryant
Title or Position
BUSINESS MANAGER
Telephone Number
(501) 804-9712
Identifiers
Identifier
MC2196
Identifier State
AR
Identifier Issuer
ARKANSAS STATE MEDICAL BO
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/24/2019