Individual
MS. MARY KATHERINE BRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1061 HARMON AVE, STE1DO3, FORT STEWART, GA 31314-5604
(912) 435-6683
Mailing address
1061 HARMON AVE, STE1DO3, FORT STEWART, GA 31314-5604
(912) 435-6683
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
663246
TX
Other
Enumeration date
01/04/2006
Last updated
03/03/2011
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