Individual
DR. JAMES WILLIE BRANAM JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4112 ARKWRIGHT RD, MACON, GA 31210-1707
(478) 405-9945
(478) 405-9951
Mailing address
PO BOX 1775, MACON, GA 31202-1775
(478) 405-9945
(478) 405-9951
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
020409
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52244194
BLUE CROSS BLUE SHIELD
GA
Enumeration date
10/20/2005
Last updated
07/08/2007
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