Provider Demographics
NPI:1487226171
Name:BRYANT, QUTERIA
Entity Type:Individual
Prefix:
First Name:QUTERIA
Middle Name:
Last Name:BRYANT
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 1:4220 CAHABA HEIGHTS CT STE 203
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5733
Mailing Address - Country:US
Mailing Address - Phone:205-368-3500
Mailing Address - Fax:
Practice Address - Street 1:4220 CAHABA HEIGHTS CT STE 203
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-5733
Practice Address - Country:US
Practice Address - Phone:205-368-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care