Individual
ANGELINA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2 COMPTON ROUND, POOLER, GA 31322-9622
(912) 247-7458
Mailing address
2 COMPTON ROUND, POOLER, GA 31322-9622
(912) 247-7458
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN168136
GA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN168136
GA
163WW0101X
Ambulatory Women's Health Care Registered Nurse
RN168136
GA
Other
Enumeration date
04/05/2021
Last updated
04/22/2021
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