Individual
MRS. SHARON M BRYAN-GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
236 ARROWHEAD BLVD, JONESBORO, GA 30236-1106
(770) 478-9240
(770) 478-0318
Mailing address
236 ARROWHEAD BLVD, JONESBORO, GA 30236-1106
(770) 478-9240
(770) 478-0318
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN158290
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203042010B
—
GA
05
—
203042010C
—
GA
Enumeration date
02/20/2007
Last updated
04/27/2015
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