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Individual

KATHERINE BUTLER BRYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
125 CLAIREMONT AVE STE 190, DECATUR, GA 30030-2585
(404) 748-9691
Mailing address
125 CLAIREMONT AVE STE 190, DECATUR, GA 30030-2585
(404) 748-9691

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN324990
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN324990
GA

Other

Enumeration date
03/24/2022
Last updated
11/29/2023
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