Individual
OBIE BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 BALD RIDGE MARINA RD STE 200, CUMMING, GA 30041-8526
(770) 781-8650
Mailing address
1200 BALD RIDGE MARINA RD STE 200, CUMMING, GA 30041-8526
(678) 756-3726
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123842
GA
Other
Enumeration date
05/27/2025
Last updated
08/27/2025
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