Bryant Lamont Wilson

NPI #1801642780 in Hephzibah, Georgia

Provider Information

NPI Number
1801642780
Entity Type
Individual
Name
Bryant Lamont Wilson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Apr 30, 2024
Last Updated
Apr 30, 2024

Practice Location

Address
1710 ETHAN WAY
State
Georgia
ZIP Code
30815-6968
Phone
(912) 309-7520

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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