Individual
ELENA V BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 4TH ST, BRUNSWICK, GA 31520-3779
(912) 466-5870
Mailing address
3300 4TH ST, BRUNSWICK, GA 31520-3779
(912) 466-5870
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
85652
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2017
Last updated
09/23/2020
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