Individual
BRYAN GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 W GREEN ST, ATHENS, GA 30602-5036
(770) 789-7480
Mailing address
490 BARNETT SHOALS RD APT 547, ATHENS, GA 30605-7649
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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