Individual
MISS HILDA FAYE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT(R)(CT)
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
2629 WINDING LN NE, ATLANTA, GA 30319-3231
(843) 230-2778
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
424860
SC
Other
Enumeration date
11/09/2012
Last updated
11/21/2012
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