Individual
BRANDY COLLEEN MIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 18TH ST STE A30, COLUMBUS, GA 31901-1535
(706) 571-1182
Mailing address
1901 PERDIDO ST STE 3205, NEW ORLEANS, LA 70112-1393
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
312403
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
312403
LA
207RP1001X
Pulmonary Disease Physician
312403
LA
207RP1001X
Pulmonary Disease Physician
Primary
92725
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2016
Last updated
09/20/2022
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