Individual
GAYE P BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.D.O.
Contact information
Practice address
3225 CUMBERLAND BLVD SE, SUITE 800, ATLANTA, GA 30339-6407
(404) 351-2220
Mailing address
3225 CUMBERLAND BLVD SE, SUITE 800, ATLANTA, GA 30339-6407
(404) 351-2220
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002052
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4409480002
MEDICARE - DMERC
GA
Enumeration date
09/04/2007
Last updated
06/07/2012
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