Individual
DR. BRYANT KEITH BARROWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
400 S 3RD AVE, MC RAE, GA 31055-1760
(229) 868-4462
Mailing address
400 S 3RD AVE, MC RAE, GA 31055-1760
(229) 868-4462
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011215
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN011215
STATE LICENSE
GA
Enumeration date
08/24/2006
Last updated
07/09/2007
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