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Individual

MRS. CIANDRA REGINE CALHOUN BRANCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5127 JIMMY CARTER BLVD, NORCROSS, GA 30093-1619
(404) 564-7007
(404) 481-4520
Mailing address
5127 JIMMY CARTER BLVD, NORCROSS, GA 30093-1619
(404) 564-7007
(404) 481-4520

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12509
GA

Other

Enumeration date
08/09/2024
Last updated
06/12/2026
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