Individual
BERNESTINE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
940 GA HIGHWAY 96, WARNER ROBINS, GA 31088-2584
(478) 988-1222
Mailing address
3876 NORTHSIDE DR APT 1201, MACON, GA 31210-2451
(478) 775-0468
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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