Individual
KHALIL BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
725 N CENTRAL AVE, HAPEVILLE, GA 30354-1935
(404) 761-2766
Mailing address
725 N CENTRAL AVE, HAPEVILLE, GA 30354-1935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/14/2023
Last updated
09/17/2023
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