Individual
ANNA BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MLS
Contact information
Practice address
1332 SOUTHERN DR, STATESBORO, GA 30460-1360
(912) 478-4636
Mailing address
707 PARK AVE NE APT 1313, ATLANTA, GA 30326-3407
(478) 595-4526
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
J8E8M9S6
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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