Individual
EZRON BRYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2035 TIMOTHY RD, F208, ATHENS, GA 30606-3285
(706) 542-2758
Mailing address
2035 TIMOTHY RD, F208, ATHENS, GA 30606-3285
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002797
GA
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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