Individual
ALICIA RAY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
106 MCCRARY AVE, ROBERTA, GA 31078-4916
(478) 836-2819
(478) 836-2823
Mailing address
106 MCCRARY AVE, ROBERTA, GA 31078-4916
(478) 836-2819
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN175374
GA
363LF0000X
Family Nurse Practitioner
Primary
F0913219
GA
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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