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Individual
BRANTLEY HERRINGTON
Active
Individual
BRANTLEY HERRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
12334
GA
363A00000X
Physician Assistant
Primary
12334
GA
363A00000X
Physician Assistant
4572
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5949PA
—
SC
Enumeration date
08/29/2016
Last updated
09/17/2024
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