| Lawrence Earl Bryant Jr, APRN | |
|
3580 Cameron Pkwy, Stockbridge, GA 30281-7816 | |
| (770) 996-6446 | |
| (770) 996-6279 |
| Full Name | Lawrence Earl Bryant Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 3580 Cameron Pkwy, Stockbridge, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831535541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | RN229758 (Georgia) | Primary |
| Entity Name | Southside Kidney Clinics, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659398600 PECOS PAC ID: 7810955408 Enrollment ID: O20041229000539 |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence Earl Bryant Jr, APRN 3580 Cameron Pkwy, Stockbridge, GA 30281-7816 Ph: (770) 996-6446 | Lawrence Earl Bryant Jr, APRN 3580 Cameron Pkwy, Stockbridge, GA 30281-7816 Ph: (770) 996-6446 |
Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943 |
Ms. Rita Raynel Givens, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 830 Eagles Landing Pkwy Ste 204, Stockbridge, GA 30281 Phone: 770-962-3642 Fax: 770-962-3643 |
Romin Patel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 000-000-0000 |
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947 |
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018 |
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363 |
Mrs. Kyndra Lenee Ellis, RN, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 443 Gresham Dr, Stockbridge, GA 30281 Phone: 678-756-1465 Fax: 678-756-1465 |