Provider Demographics
NPI:1033995303
Name:BRYANT BEY, CHARIS
Entity Type:Individual
Prefix:
First Name:CHARIS
Middle Name:
Last Name:BRYANT BEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3211 KIMBALL AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43610-1146
Mailing Address - Country:US
Mailing Address - Phone:567-395-2985
Mailing Address - Fax:
Practice Address - Street 1:2400 N REYNOLDS RD STE C
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-2833
Practice Address - Country:US
Practice Address - Phone:567-395-2985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist