Provider Demographics
NPI:1366937526
Name:WILLIAMS, BRYANT M (PA)
Entity type:Individual
Prefix:
First Name:BRYANT
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:2301 ERWIN RD STE 2600
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4699
Mailing Address - Country:US
Mailing Address - Phone:919-681-0196
Mailing Address - Fax:919-881-8521
Practice Address - Street 1:2301 ERWIN RD STE 2600
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4699
Practice Address - Country:US
Practice Address - Phone:919-681-0196
Practice Address - Fax:919-881-8521
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2021-09-29
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical