Individual
BRENDA GAIL BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1804 FORKS RD, MILLWOOD, GA 31552-3014
(912) 327-1421
Mailing address
1804 FORKS RD, MILLWOOD, GA 31552-3014
(912) 327-1421
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN231570
GA
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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