Individual
DAVID BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 TREE LN STE 290, SNELLVILLE, GA 30078-6797
(770) 934-4577
(770) 934-4577
Mailing address
1800 TREE LN STE 290, SNELLVILLE, GA 30078-6797
(770) 934-4577
(770) 934-4577
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
18616
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00532254A
—
GA
01
—
023921
BCBS GA
GA
01
—
160017334
MEDICARE RAILROAD
GA
01
—
554817
UNITED HEALTHCARE
GA
Enumeration date
07/05/2006
Last updated
11/09/2016
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