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Individual

BRYAN JACOB WHEAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5716 RILEY RD, OOLTEWAH, TN 37363-6882
(731) 501-6378
Mailing address
5716 RILEY RD, OOLTEWAH, TN 37363-6882

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
238316
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
GAA-CRNA004077
GA

Other

Enumeration date
09/14/2024
Last updated
04/16/2026
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