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General NPI Number Information
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NPI Number | 1477903961
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Entity Type | Individual
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Provider Name | BRYAN D VO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 3400 OLD MILTON PKWY STE A510
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City | ALPHARETTA
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State | GA
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Zip | 30005-3750
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Country | US
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Telephone | 404-256-1727
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Fax | 404-256-0192
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Provider Business Mailing Address
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Address Line | 993 JOHNSON FERRY RD STE F210
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City | ATLANTA
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State | GA
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Zip | 30342-1688
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Country | US
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Telephone | 404-256-1727
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Fax | 404-256-0192
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | LL39793
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 83525
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License Number State | GA
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