Healthcare Provider Details

I. General information

NPI: 1609782671
Provider Name (Legal Business Name): BRYANT K BARROWS DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 S THIRD AVE
MC RAE GA
31055-4929
US

IV. Provider business mailing address

34 S THIRD AVE
MC RAE GA
31055-4929
US

V. Phone/Fax

Practice location:
  • Phone: 229-868-4462
  • Fax: 229-868-6984
Mailing address:
  • Phone: 229-868-4462
  • Fax: 229-868-6984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TONYA REDMON
Title or Position: OFFICE
Credential:
Phone: 229-868-4462