Individual
MRS. PAM S BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2121A BELLEVUE RD, DUBLIN, GA 31021
(478) 272-1190
(478) 275-6509
Mailing address
2121A BELLEVUE RD, DUBLIN, GA 31021
(478) 272-1190
(478) 275-6509
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN060233
GA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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