Individual
DR. JOHN H BRANNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1990 HOLTON AVE E, BIG STONE GAP, VA 24219
(276) 523-3111
Mailing address
1990 HOLTON AVE E, BIG STONE GAP, VA 24219-3350
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102205185
VA
207P00000X
Emergency Medicine Physician
3468
TN
207Q00000X
Family Medicine Physician
Primary
0102205185
VA
207Q00000X
Family Medicine Physician
3468
TN
390200000X
Student in an Organized Health Care Education/Training Program
0116028225
VA
Other
Enumeration date
06/15/2015
Last updated
06/29/2021
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