Organization
RN DRIP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS BRYANT (OWNER)
(770) 322-4669
Entity
Organization
Contact information
Practice address
500 LANIER AVE W STE 602, FAYETTEVILLE, GA 30214-7644
(770) 322-4698
Mailing address
227 SLICKY ROCK CT, RIVERDALE, GA 30274-3168
(678) 516-4137
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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