Individual
ANTHONY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
410 DARLING AVE, WAYCROSS, GA 31501-5246
(912) 338-6511
(336) 553-3994
Mailing address
PO BOX 18824, GREENSBORO, NC 27419-8824
(336) 553-1659
(336) 553-3994
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN109243
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000885442K
—
GA
05
—
000885442M
—
GA
01
—
P00351833
RR MEDICARE
GA
Enumeration date
03/17/2006
Last updated
05/27/2010
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