Individual
BRIAN BOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1433 BROOKCLIFF DR, MARIETTA, GA 30062-4852
(678) 596-3536
Mailing address
1433 BROOKCLIFF DR, MARIETTA, GA 30062-4852
(678) 596-3536
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
325684
NC
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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