Individual
BRANDI B DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1551 DOCTORS DRIVE, LAGRANGE, GA 30240-4139
(706) 803-7450
(770) 999-2818
Mailing address
1551 DOCTORS DRIVE, LAGRANGE, GA 30240-4139
(706) 803-7450
(770) 999-2818
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005829
GA
Other
Enumeration date
05/24/2010
Last updated
04/03/2024
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