| Khalil Bryant, PA | |
|
725 N Central Ave, Hapeville, GA 30354-1935 | |
| (404) 761-2766 | |
| Not Available |
| Full Name | Khalil Bryant |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 725 N Central Ave, Hapeville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831872050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Anwan Wellness Medical Center PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497842777 PECOS PAC ID: 3971579145 Enrollment ID: O20040908001503 |
| Entity Name | Privia Medical Group of Georgia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Khalil Bryant, PA 725 N Central Ave, Hapeville, GA 30354-1935 Ph: Not Available | Khalil Bryant, PA 725 N Central Ave, Hapeville, GA 30354-1935 Ph: (404) 761-2766 |
Anthony Keith Taylor, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 791 Oak Street, Hapeville, GA 30354 Phone: 404-601-2000 Fax: 404-559-0257 |
Samuel Gibson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 791 Oak St, Hapeville, GA 30354 Phone: 404-601-2000 Fax: 404-559-0806 |
Terry Robinson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 791 Oak St, Hapeville, GA 30354 Phone: 404-601-2000 Fax: 404-559-0257 |
Ms. Olivia Hovell Babb, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 725 N Central Ave, Hapeville, GA 30354 Phone: 404-761-2766 |
Annette S Williams, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3580 Atlanta Ave, Hapeville, GA 30354 Phone: 404-768-3351 |
Miss Kwenda Kikora Johnson, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 535 N Central Ave, Hapeville, GA 30354 Phone: 404-761-4040 |
Ann Hall Labar, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 411 King Arnold St, Hapeville, GA 30354 Phone: 404-915-1685 |