Worldwide Medical Distributor, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WORLDWIDE MEDICAL DISTRIBUTOR, LLC

Practice address

3780 Old Norcross Rd Ste 103
Duluth, GA 30096-1762

Phone

(770) 389-9116

Fax

(770) 506-4580

NPI assigned

Dec 23, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David S Bryant

Title

MD

Phone

(770) 389-9116

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Worldwide Medical Distributor, LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1972142891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 OLD NORCROSS RD STE 103",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961762",
            "telephone_number": "770-389-9116",
            "fax_number": "770-506-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 OLD NORCROSS RD STE 103",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961762",
            "telephone_number": "770-389-9116",
            "fax_number": "770-506-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORLDWIDE MEDICAL DISTRIBUTOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "770-389-9116",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243038113B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Worldwide Medical Distributor, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dermatology Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.