Individual
BRANDON JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2388 OLD MCDUFFIE RD, AUGUSTA, GA 30906
(706) 833-7503
Mailing address
2388 OLD MCDUFFIE RD, AUGUSTA, GA 30906
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01906
MD
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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