Individual
MR. ISRAEL D BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2251 W ELM ST, WRIGHTSVILLE, GA 31096-2017
(478) 864-3448
(478) 864-1288
Mailing address
207 GREEN ST, WARNER ROBINS, GA 31093-2727
(478) 787-4266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
054797
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054797
PROVIDER STATE LICENSE
GA
Enumeration date
05/15/2006
Last updated
03/07/2023
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