Individual
AMANDA MECHELLE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 PATRIOT DR, HEPHZIBAH, GA 30815-4550
(706) 877-6662
Mailing address
1004 PATRIOT DR, HEPHZIBAH, GA 30815-4550
(706) 877-6662
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH031095
GA
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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