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Individual

BRANDON M BARBERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(703) 232-5687
Mailing address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(706) 787-1647

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
97486
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/27/2022
Last updated
10/09/2023
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