Individual
MRS. BRANDY NIKIA RESPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TPR
Contact information
Practice address
4705 ASHFORD DUNWOODY RD STE 18, ATLANTA, GA 30338-5566
(678) 368-9575
Mailing address
3164 CLUBSIDE VIEW CT, SNELLVILLE, GA 30039-4722
(678) 368-9575
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
GA
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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