Individual
DENEIKA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5541
(706) 596-5780
Mailing address
5963 BIG OAK DR, COLUMBUS, GA 31909-4441
(706) 662-7096
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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