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NPI Code Detail

MEDICARE: MS. PAULA BRYMAN LCSW

MEDICARE: MS. PAULA BRYMAN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCSW001719GA

General Provider Information

NPI Number : 1073615548
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAULA BRYMAN LCSW
Provider Business Mailing Address
First Line : 4368 DUNMORE RD NE
Second Line :
City : MARIETTA
State : GA
Zip : 30068-4221
Country : US
Telephone Number : 678-560-0281
Fax Number : 404-303-0661
Provider Business Practice Location Address
First Line : 300 W WIEUCA RD NE
Second Line : BLDG. 2, STE 200
City : ATLANTA
State : GA
Zip : 30342-3352
Country : US
Telephone Number : 404-255-7929
Fax Number : 404-303-0661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2006
Last Update Date : 07/08/2007

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Directions to “ MS. PAULA BRYMAN LCSW” Practice Location

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