Elizabeth Gray Bryan
Physician Assistant in North Augusta, SC. Individual provider (NPI-1).
NPI number1215484530
StatusActive
Last updated in NPPESJan 26, 2017
Details
- NPI
- 1215484530
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Gray Bryan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2016
- Last updated
- Jan 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2623 | SC | Yes |
Other names
- Elizabeth Bragan Gray (Former Name)
Practice location
336 Georgia AveNorth Augusta, SC 29841-3849
Phone 803-553-0327
Mailing address
Po Box 1705Augusta, GA 30903-1705
Phone 706-854-6917 · Fax 706-774-7230
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All 17 Physician Assistant providers in North Augusta · All 653 providers in North Augusta
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