NPI 1013577873

Bryan Rainbolt, PA

Practitioner Physician Assistant Suwanee, GA

Practice location

Address: 1300 Peachtree Industrial Blvd STE 4101, Suwanee, GA 30024-4542
Phone: (770) 831-5525

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 9292 (GA)

Other Physician Assistant providers in Georgia →

Registry record

NPI: 1013577873
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2019
Record last updated: 20 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.