NPI 1194503516

Yarquita Waller Bryant

Practitioner Contractor Decatur, GA

Practice location

Address: 1290 Hopkins Dr, Decatur, GA 30033-3251
Phone: (478) 919-8353

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1194503516
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Sep 2023
Record last updated: 18 Sep 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.