# PROVECTUS HEALTH STRATEGIES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336571454
- **Authorized official:** MR. MACK WAYNE BRYSON (CEO)
- **Authorized official phone:** (912) 242-2284

## Contact information

- **Practice address:** 1640 POWERS FERRY RD SE BLDG 26-350, MARIETTA, GA 30067-1443
- **Practice address phone:** (912) 242-2284
- **Practice address fax:** (912) 882-9262
- **Mailing address:** 1640 POWERS FERRY RD SE BLDG 26-350, MARIETTA, GA 30067-1443
- **Mailing address phone:** (912) 242-2284
- **Mailing address fax:** (912) 882-9262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | GA | Yes |

## Other

- **Enumeration date:** 07/31/2013
- **Last updated:** 07/31/2013
