Individual
BRANTON KEON SMITH I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 2ND AVENUE, COLUMBUS, GA 31901
(706) 321-9606
Mailing address
1230 2ND AVE, COLUMBUS, GA 31901-5241
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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