Individual
MR. BRENTON BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5401 LAKE OCONEE PKWY, GREENSBORO, GA 30642-4232
(706) 201-7726
Mailing address
106 CHANDLER DR, EATONTON, GA 31024-6140
(706) 201-7726
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN294310
GA
Other
Enumeration date
07/11/2024
Last updated
09/13/2024
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