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Individual

ALPHONSO BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ORTHOTIST

Contact information

Practice address
182 RILEY AVE, STE. B, MACON, GA 31204-0771
(478) 476-0201
(478) 476-0202
Mailing address
182 RILEY AVE, STE. B, MACON, GA 31204
(478) 476-0201
(478) 476-0202

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
73
GA

Other

Enumeration date
07/02/2008
Last updated
05/22/2009
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