Individual
MRS. BRANDY ELAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6851 BARTOW WAY, MIDLAND, GA 31820-3826
(762) 207-4976
Mailing address
6851 BARTOW WAY, MIDLAND, GA 31820-3826
(762) 207-4976
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
01/29/2023
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