Provider Information for 1780256065
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Ms. BRITTANY LESHON O'BRYANT M.S.
Sex: Female
NPI: 1780256065
Last Updated: 2022-05-16
Certification Date: 2022-05-16
Certification Date: 2022-05-16
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1780256065 | ||||||||||||
| Enumeration Date | 2021-07-15 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 412SUMMIT VILLAGE COURT MARIETTA, GA 30066-5960 United States Phone: 470-264-8774 | Fax:470-655-6900 | ||||||||||||
| Primary Practice Address | 2910 CANTON HIGHWAY UNIT F BALL GROUND, GA 30107-9069 United States Phone: 970-264-8774 | Fax:470-655-6900 | ||||||||||||
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