Individual
BRANDON REEVES BLOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEADOWS PKWY, VIDALIA, GA 30474-8759
(535) 912-5894
Mailing address
263 NUTMEG LN, SWAINSBORO, GA 30401-4565
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN223811
GA
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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