Individual
SUSAN W BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
310 BRYAN ST W, DOUGLAS, GA 31533-4730
(912) 389-4586
(913) 389-4590
Mailing address
310 BRYAN ST W, DOUGLAS, GA 31533-4730
(912) 389-4586
(913) 389-4590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN066856
GA
363L00000X
Nurse Practitioner
Primary
RN066856
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000857645A
—
GA
05
—
000857645B
—
GA
Enumeration date
07/06/2006
Last updated
06/04/2025
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