Individual
MR. BRANDON EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2027 ELL RD, SODDY DAISY, TN 37379-8501
(423) 605-9512
Mailing address
2027 ELL RD, SODDY DAISY, TN 37379-8501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
34564
TN
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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