Individual
MR. BRANDI J MACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
31 MEDICAL DR, LINDEN, TN 37096-3326
(931) 583-2138
(931) 589-5414
Mailing address
2284 BURNS HILL RD, LOBELVILLE, TN 37097-4623
(931) 593-2150
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000156479
TN
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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