Organization
HOWARD M BRYANT D.P.M., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD M BRYANT D.P.M., P.C. (C.E.O.)
(770) 981-6940
Entity
Organization
Contact information
Practice address
2575 SNAPFINGER RD, SUITE D, DECATUR, GA 30034-2300
(770) 981-6940
(770) 981-1273
Mailing address
2575 SNAPFINGER RD, SUITE D, DECATUR, GA 30034-2300
(770) 981-6940
(770) 981-1273
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
POD000493
GA
302R00000X
Health Maintenance Organization
POD000493
GA
305R00000X
Preferred Provider Organization
POD000493
GA
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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