Individual
DEBRAYDA GIOVANNI BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6420 POLLARDS POND RD, APPLING, GA 30802-3726
(706) 868-3330
(706) 868-3336
Mailing address
3317 GORDON HWY, GROVETOWN, GA 30813-3540
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN 067834
GA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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