Individual
BRIANNA SOUTHWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 SEYMOUR ST BLDG 502, HARTFORD, CT 06102-8000
(860) 972-0549
(860) 545-5221
Mailing address
333 BUDLONG RD, CRANSTON, RI 02920-6337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01397
RI
Other
Enumeration date
12/07/2019
Last updated
11/25/2024
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