Individual
BRIANA NICOLE GANTT I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP- BC
Contact information
Practice address
1685 OLD PENDERGRASS RD, JEFFERSON, GA 30549-2705
(706) 387-7637
Mailing address
51 SIMS KIDD RD, COMER, GA 30629-4136
(706) 340-3556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN259582
GA
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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