| NPI | 1205860459 |
|---|---|
| Doing Business As | GLEN EDWARD BRYANT JR. |
| Entity Type | Organization |
| Authorized Contact | GLEN EDWARD BRYANT Owner 870-732-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-12-12 |