Individual
DR. BRYAN P KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 CLINIC AVE STE 101, CARROLLTON, GA 30117-4402
(770) 834-0873
(770) 834-0873
Mailing address
150 CLINIC AVENUE, SUITE 101, CARROLLTON, GA 30117
(770) 834-0873
(770) 834-6118
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
058688
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
058688
GA
Other
Enumeration date
04/17/2007
Last updated
03/17/2018
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