Organization
BRAND PROFESSIONAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LAMAR BRAND JR. M.D. (MEDICAL DIRECTOR)
(229) 724-8823
Entity
Organization
Contact information
Practice address
208 N CUTHBERT ST, COLQUITT, GA 39837-3517
(229) 758-3304
(949) 955-5482
Mailing address
PO BOX 593, COLQUITT, GA 39837-0593
(229) 725-4272
(949) 955-5482
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
046045
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000820322D
—
GA
Enumeration date
09/08/2008
Last updated
07/05/2010
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