Individual
MR. BRYAN BARDASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
150 WYNDAGE CT, CORNELIA, GA 30531-8108
(478) 361-7940
Mailing address
150 WYNDAGE CT, CORNELIA, GA 30531-8108
(478) 361-7940
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN219736
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN219736
GA
Other
Enumeration date
02/08/2016
Last updated
02/19/2020
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