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NPI Code Detail

MEDICARE: DR. BRYAN CHARLES BOST PT, DSC

MEDICARE: DR. BRYAN CHARLES BOST PT, DSC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist004786GA
2225100000XPhysical Therapist4786GA

General Provider Information

NPI Number : 1518937283
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRYAN CHARLES BOST PT, DSC
Provider Business Mailing Address
First Line : 105 MAXWELL CT
Second Line :
City : RICHMOND HILL
State : GA
Zip : 31324-7719
Country : US
Telephone Number : 904-982-4914
Fax Number :
Provider Business Practice Location Address
First Line : 3090 PREMIERE PKWY STE 400
Second Line :
City : DULUTH
State : GA
Zip : 30097-8915
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 04/23/2025

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Directions to “ DR. BRYAN CHARLES BOST PT, DSC” Practice Location

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