Individual
MRS. KATRINA MANSFIELD BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134-2272
(770) 949-1500
Mailing address
3148 PRIMROSE ST, DOUGLASVILLE, GA 30135-3198
(404) 819-9036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN172641
GA
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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