Individual
PHYLLIS MICHELLE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
227 SLICKY ROCK CT, RIVERDALE, GA 30274-3168
(678) 516-4137
Mailing address
227 SLICKY ROCK CT, RIVERDALE, GA 30274-3168
(678) 516-4137
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
236861
GA
163W00000X
Registered Nurse
Primary
RN236861
GA
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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