Individual
BRANDON JAY POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-1990
Mailing address
6081 BIG POND TRAIL, GROVETOWN, GA 30813
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
13834
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13834
GEORGIA RESIDENCY TRAINING PERMIT
GA
Enumeration date
06/14/2022
Last updated
06/14/2022
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