Individual
BRANDY LEE BORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4083 CLOUD SPRINGS RD., RINGGOLD, GA 30736
(912) 222-7932
Mailing address
111 ANDREW RD, RINGGOLD, GA 30736-4148
(191) 222-2793
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN095459
GA
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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