Bryant, Jill G
Bryant, Jill G is an individual health care provider with primary practice located at 711 Knight Ave , Waycross GA 31501-1943. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bryant, Jill G can be contacted via phone (912) 283-9423.Contact Information
Primary practice address
711 Knight Ave
Waycross GA 31501-1943
Phone: (912) 283-9423
Fax: (912) 283-8204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 043375 | Georgia |
Profile Details
| NPI number | 1306820741 |
|---|---|
| LBN Legal business name | Bryant, Jill G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Nov 17th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306820741 | NPPES |
| Georgia | MEDICAID | 000755125D | |
| Georgia | Other | CG6045 | |
| Georgia | Other | 1306820741 |
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