Individual
DONATELLO BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2720 AVANTI WAY, DECATUR, GA 30035-4191
(202) 807-9631
Mailing address
2720 AVANTI WAY, DECATUR, GA 30035-4191
(202) 807-9631
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
123456789
GA
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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