Individual
BRANDON SCOTT FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-4000
(423) 224-4746
Mailing address
10415 WALLACE ALLEY ST STE 6A, KINGSPORT, TN 37663-3936
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
16322
TN
Other
Enumeration date
03/02/2012
Last updated
03/14/2025
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