Individual
MRS. MARLENE POWELL-BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2552 WESTCHESTER WAY SE, CONYERS, GA 30013-6448
(770) 760-1597
Mailing address
2552 WESTCHESTER WAY SE, CONYERS, GA 30013-6448
(770) 760-1597
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
122-R-1098
GA
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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