Individual
CHANTAE ALETHA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH-NP
Contact information
Practice address
500 PLANTATION PARK DR, LOGANVILLE, GA 30052-4144
(678) 344-8268
(888) 627-6444
Mailing address
500 PLANTATION PARK DR, LOGANVILLE, GA 30052-4144
(678) 344-8268
(888) 627-6444
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN227249
GA
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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