Individual
BRANDON H. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
163 S TALLAHASSEE ST, HAZLEHURST, GA 31539-6465
(912) 375-7781
(912) 375-4055
Mailing address
PO BOX 277329, ATLANTA, GA 30384-7329
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
048138
GA
207P00000X
Emergency Medicine Physician
ME82728
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00856391K
—
GA
Enumeration date
01/12/2006
Last updated
04/16/2008
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