Individual
DR. BRANDON FULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2200 ROSEMONT DR, COLUMBUS, GA 31904
(712) 363-2481
Mailing address
2200 ROSEMONT DR, COLUMBUS, GA 31904-7369
(712) 363-2481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015703
GA
Other
Enumeration date
07/06/2018
Last updated
08/27/2018
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