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Individual

DR. BRANDI MICHELLE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
101 DARLING AVE, WAYCROSS, GA 31501-5219
(912) 584-0047
(912) 490-1498
Mailing address
3303A GLYNN AVE, BRUNSWICK, GA 31520-4406
(912) 466-9500
(912) 466-9922

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002610
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003124649A
GA
Enumeration date
09/03/2010
Last updated
02/16/2023
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