Individual
LARRY BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8124 TUCKER RD, JONESBORO, GA 30238-2189
(678) 869-1578
Mailing address
8124 TUCKER RD, JONESBORO, GA 30238-2189
(678) 869-1578
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
GA
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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