Individual
DR. BRANDI FANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1950 LAKE PARK DR SE, SMYRNA, GA 30080-7648
(770) 970-2735
Mailing address
1950 LAKE PARK DR SE, SMYRNA, GA 30080-7648
(770) 970-2735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
34448
TN
183500000X
Pharmacist
Primary
RPH026503
GA
Other
Enumeration date
01/12/2013
Last updated
06/24/2020
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