Individual
WAYNE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1499 FAIR RD FL 3, STATESBORO, GA 30458-1683
(912) 486-1431
Mailing address
1499 FAIR ROAD, STATESBORO, GA 30458-2744
(912) 486-1431
(912) 871-2261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77972
GA
Other
Enumeration date
03/30/2014
Last updated
09/28/2017
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