Individual
MRS. BARBARA M BRANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN11(NURSE)
Contact information
Practice address
1005 4TH AVE N, COLUMBUS, MS 39701-4653
(662) 328-3247
(662) 328-9854
Mailing address
1005 4TH AVE N, COLUMBUS, MS 39701-4653
(662) 328-3247
(662) 328-9854
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P230987
MS
Other
Enumeration date
04/22/2007
Last updated
07/08/2007
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