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Organization

PROVECTUS HEALTH STRATEGIES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MACK WAYNE BRYSON (CEO)
(912) 242-2284
Entity
Organization

Contact information

Practice address
1640 POWERS FERRY RD SE BLDG 26-350, MARIETTA, GA 30067-1443
(912) 242-2284
(912) 882-9262
Mailing address
1640 POWERS FERRY RD SE BLDG 26-350, MARIETTA, GA 30067-1443
(912) 242-2284
(912) 882-9262

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
GA

Other

Enumeration date
07/31/2013
Last updated
07/31/2013
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