Healthcare Provider Details

I. General information

NPI: 1326574229
Provider Name (Legal Business Name): VIRGINIA BRYANT AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1218 W PACES FERRY RD NW STE 208
ATLANTA GA
30327-2308
US

IV. Provider business mailing address

1240 HIGHWAY 54 W STE 710
FAYETTEVILLE GA
30214-4565
US

V. Phone/Fax

Practice location:
  • Phone: 770-991-2800
  • Fax:
Mailing address:
  • Phone: 770-991-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: