Individual
BRANDON TRACE MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 E GREENE ST, MILLEDGEVILLE, GA 31061-3519
(478) 445-7576
Mailing address
239A PINE NEEDLE RD, MILLEDGEVILLE, GA 31061-3144
(478) 986-8487
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/13/2014
Last updated
07/13/2014
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