Individual
MS. BROOKE LOGAN BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
458 HEMLOCK ST # 200, MACON, GA 31201-4200
(478) 741-5946
Mailing address
458 HEMLOCK ST # 200, MACON, GA 31201-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN230828
GA
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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