Individual
DR. RICHARD L BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
490 FORDTOWN RD, FALL BRANCH, TN 37656-1900
(423) 534-1382
Mailing address
490 FORDTOWN RD, FALL BRANCH, TN 37656-1900
(423) 534-1382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17195
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005617677
—
VA
05
—
3023011
—
TN
Enumeration date
08/11/2006
Last updated
09/21/2023
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