Individual
BRYAN THOMAS KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1016 E SPRING ST, MONROE, GA 30655-2469
(770) 464-0280
(770) 464-0233
Mailing address
1016 E SPRING ST, MONROE, GA 30655-2469
(770) 464-0280
(770) 464-0233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
057712
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361264217D
—
GA
05
—
361264217E
—
GA
Enumeration date
07/19/2006
Last updated
04/26/2013
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