Individual
MRS. CAROL POOLE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
950 LANEY WALKER BLVD, AUGUSTA, GA 30901-2960
(706) 721-5909
(706) 721-5903
Mailing address
4134 FAIR OAKS RD, MARTINEZ, GA 30907-2193
(706) 799-0641
(706) 863-7460
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN 50858
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 50858
GEORGIA BOARD OF NURSING
GA
Enumeration date
07/26/2010
Last updated
07/26/2010
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