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Individual

DR. BRYAN L WOODS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1265 HIGHWAY 54 W, STE 402, FAYETTEVILLE, GA 30214-4537
(770) 719-3240
(770) 719-3241
Mailing address
95 COLLIER RD NW, STE 4075, ATLANTA, GA 30309-1751
(404) 603-3543
(404) 350-8795

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
034273
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00685924E
GA
Enumeration date
06/10/2005
Last updated
07/08/2007
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