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Dr. Chacey Bryan, MD
Student in an Organized Health Care Education/Training Program in Wilmington, North Carolina
NPI 1699228734

Chacey Bryan is a Student in an Organized Health Care Education/Training Program based in Easley, NC. Chacey Bryan practices in Wilmington, NC and has the professional credentials of MD. The NPI Number for Chacey Bryan is 1699228734 and holds a License No. 87072 (North Carolina).

The current practice location address for Chacey Bryan is 3205 Randall Pkwy Ste 105, Wilmington, NC and can be reached out via phone at 910-742-9243.

Location: 3205 Randall Pkwy Ste 105, Wilmington, NC, 29642-3715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699228734
Provider Name
Chacey Bryan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3205 Randall Pkwy Ste 105, Wilmington, NC, 29642-3715
Phone Number
910-742-9243
Fax Number
Provider Enumeration Date
07/25/2016
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
870720 05 SC
institution
Provider Business Practice Location Address Details
Address
3205 Randall Pkwy Ste 105
City
Wilmington
State
North Carolina
Zip
28403-2565
Phone Number
910-742-9243
Fax Number
person
Provider Business Mailing Address Details
Address
3205 Randall Pkwy Ste 105
City
Wilmington
State
North Carolina
Zip
28403-2565
Phone Number
910-742-9243
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
87072 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
296938-1 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
87072 (South Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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