Individual
BRANTLEY AARON WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-7000
Mailing address
PO BOX 3209, INDIANAPOLIS, IN 46206-3209
(317) 614-9874
(317) 428-1055
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
GA
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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