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Individual

DR. MICHAEL DAVID BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 WHITCHER ST NE, SUITE 250, MARIETTA, GA 30060-1155
(770) 428-4475
(770) 426-1499
Mailing address
55 WHITCHER STREET, SUITE 250, MARIETTA, GA 30060-1059
(770) 428-4475
(770) 426-1499

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
74154
GA

Other

Enumeration date
04/28/2010
Last updated
02/24/2016
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