Individual
MR. BRANDON REID FALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 S LOCUST ST, MCCOMB, MS 39648-4336
(601) 684-8111
Mailing address
2300 LINCOLN RD, APT 68, HATTIESBURG, MS 39402-3120
(443) 985-0345
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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