Individual
CLAUDETTE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
766 WALTHER RD STE 100, LAWRENCEVILLE, GA 30046-8765
(770) 736-6300
Mailing address
4524 SEQUOIA PARK TRL, SNELLVILLE, GA 30039-2765
(770) 985-4257
(770) 985-4258
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2147
GA
Other
Enumeration date
08/31/2011
Last updated
01/25/2019
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