Individual
BRANDON GUYCLAY MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
THERAPIST/ST
Contact information
Practice address
75 MASSEY RD, TIFTON, GA 31793-8322
(229) 326-8658
Mailing address
75 MASSEY RD, TIFTON, GA 31793-8322
(229) 326-8658
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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