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Individual

BRITTAINEY NICALE BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16 GILLIS ST, GLENWOOD, GA 30428-3738
(912) 423-2754
Mailing address
PO BOX 212, GLENWOOD, GA 30428-0212
(912) 423-2754

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
7322-161-498-2676
GA

Other

Enumeration date
01/22/2025
Last updated
01/22/2025
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