Individual
MR. GERALD OLIVER BRANT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
305 WELLINGTON PL, JACKSONVILLE, NC 28546-8341
(910) 347-1671
(910) 451-4419
Mailing address
305 WELLINGTON PL, JACKSONVILLE, NC 28546-8341
(910) 347-1671
(910) 451-4419
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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