Individual
ALTHEA BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
198 ROTHERHITHE LN NW, MARIETTA, GA 30066-3491
(404) 579-1956
Mailing address
198 ROTHERHITHE LN NW, MARIETTA, GA 30066-3491
(404) 579-1956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN170100
GA
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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