Individual
BRANDON ARCH GLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2709 MEREDYTH DR, STE 450, ALBANY, GA 31707-0222
(229) 446-1990
Mailing address
2709 MEREDYTH DR, STE 450, ALBANY, GA 31707-0222
(229) 446-1990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006607
GA
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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