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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRYAN MACK

Active Sole Proprietor

BRYAN MACK is a Family Medicine healthcare provider located in VIRGINIA BEACH, Virginia. NPI 1649354887 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · VIRGINIA BEACH, VA

Registration Details

NPI Number
1649354887
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2006 (19.802248968007 yrs)
Last Updated
Jul 8, 2007
License
0101232665 (VA)
Sole Proprietor
Yes

Practice Information

Address
2601 SPRINGHAVEN DR
VIRGINIA BEACH, VA, 234563995
Browse VA providers · Browse ZIP 23456
Phone
7579538735
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in VIRGINIA BEACH, VA

Name Credential NPI
DR. MITCHELL B MILLER MD 1902809437
DR. ANTHONY KIELER RICE JR. M.D. 1043214927
ALLEN R. FENDERSON M.D. 1205832979
DR. MICHELLE ELIZABETH KINGSBURY MD 1669473260
DR. NELSON MARC KARP MD 1942201504
DR. WAYNE TEMPLETON FULLER M.D. 1508867672
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.