Individual
MRS. VICKY MORTON BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
422 SYCAMORE TRAIL, WOODSTOCK, GA 30189
(404) 513-0599
Mailing address
422 SYCAMORE TRL, WOODSTOCK, GA 30189-7423
(404) 513-0599
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN137015
GA
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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