Individual
MRS. NIKKI R. BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2205 BELTLINE RD SW, DECATUR, AL 35601-3617
(256) 306-4002
(256) 306-4067
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 519-8104
(256) 519-8327
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24684
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009993960
—
AL
01
—
051523974
BLUE CROSS
AL
Enumeration date
10/03/2006
Last updated
07/17/2014
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