NPI 1659762847

Charles William Bryant III, PEERSUPPORTSPECIAL

Practitioner Peer Specialist Glen Burnie, MD

Practice location

Address: 600 E Ordnance Rd, Glen Burnie, MD 21060-2200
Phone: (410) 222-4939
Fax: (410) 222-6364

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1659762847
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Feb 2015
Record last updated: 10 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.