Organization
CHATHAM COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTINA NICOLE BRYANT (LPN)
(912) 651-3378
Entity
Organization
Contact information
Practice address
1395 EISENHOWER DR, SAVANNAH, GA 31406-3901
(912) 356-2157
(912) 721-0386
Mailing address
1395 EISENHOWER DR, SAVANNAH, GA 31406-3901
(912) 356-2157
(912) 721-0386
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
LPN086855
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN086855
LPN
GA
Enumeration date
04/16/2015
Last updated
04/16/2015
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