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Individual

DR. BRANDAN WORMSBACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3780 EISENHOWER PKWY, MSC 143, MACON, GA 31206-0800
(478) 633-5500
(478) 784-3550
Mailing address
3780 EISENHOWER PKWY, MSC 143, MACON, GA 31206-0800
(478) 633-5500
(478) 784-3550

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75030
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/14/2014
Last updated
07/09/2017
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