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Individual
KATHERINE BUTLER BRYAN
Active
Individual
KATHERINE BUTLER BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN324990
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN324990
GA
Other
Enumeration date
03/24/2022
Last updated
11/29/2023
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