Provider Demographics
NPI:1518285659
Name:BRYANT, JOE HENRY III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:HENRY
Last Name:BRYANT
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:18167 US HIGHWAY 19 N
Mailing Address - Street 2:SUITE 650
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-3528
Mailing Address - Country:US
Mailing Address - Phone:800-507-8874
Mailing Address - Fax:727-474-8266
Practice Address - Street 1:651 DUNLOP LN
Practice Address - Street 2:GATEWAY MEDICAL CENTER
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-5015
Practice Address - Country:US
Practice Address - Phone:931-502-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2014-12-29
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Provider Licenses
StateLicense IDTaxonomies
TN50164207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNTN50164OtherTENNESSEE MEDICAL LICENSE