Individual
BRYAN W SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 PIO NONO AVE, MACON, GA 31204-3531
(478) 742-3098
(478) 750-8575
Mailing address
PO BOX 2267, MACON, GA 31203-2267
(478) 742-3098
(478) 750-8575
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH021695
GA
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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