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Individual

BRANDON CHRISTIAN HAGOPIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2011 WINDSOR SPRING RD, AUGUSTA, GA 30906-4957
(706) 798-1700
(706) 798-8626
Mailing address
PO BOX 2510, EVANS, GA 30809-2510
(706) 922-8251
(706) 922-6695

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
009053
GA
207Q00000X
Family Medicine Physician
Primary
83721
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
83721
LICENSE
GA
Enumeration date
05/31/2017
Last updated
09/10/2024
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