Individual
BRYAN PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
343 WARRIOR RD, BLDG 2115, FORT STEWART, GA 31314
(912) 767-4440
Mailing address
35 CONCORDIA DR, SAVANNAH, GA 31419-6228
(270) 792-5530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030304
IL
122300000X
Dentist
DN015155
GA
Other
Enumeration date
09/16/2015
Last updated
03/17/2018
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