Bryan, David

Bryan, David is an individual health care provider with primary practice located at 1800 Tree Ln Ste 290 , Snellville GA 30078-6797. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Bryan, David can be contacted via phone (770) 934-4577.

Contact Information

Primary practice address
1800 Tree Ln Ste 290 Snellville GA 30078-6797
Phone: (770) 934-4577
Fax: (770) 934-4577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 18616 Georgia

Profile Details

NPI number 1295766681
LBN Legal business name Bryan, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Nov 9th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295766681 NPPES
Georgia MEDICAID 00532254A
Georgia Other 023921
Georgia Other 554817
Georgia Other 160017334

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