Individual
DR. WILLIAM ANTHONY DAVID BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1035 RED BUD RD NE, CALHOUN, GA 30701-6008
(706) 602-9995
(706) 624-0271
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
035011
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000495085B
—
GA
05
—
000495085E
—
GA
Enumeration date
06/29/2006
Last updated
12/13/2018
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