Individual
BRYAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 315-8354
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 315-8354
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1162522
GA
Other
Enumeration date
09/10/2018
Last updated
12/21/2023
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