Individual
BRANDON SMALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 GROVE RD, GREENVILLE, SC 29605-4208
(864) 455-7992
Mailing address
118 WINDRIDGE, LAGRANGE, GA 30240-9728
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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