Individual
DR. BRANDON MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
124 N PARK ST, ASHEBORO, NC 27203-5440
(336) 625-1007
Mailing address
124 N PARK ST, ASHEBORO, NC 27203-5440
(336) 625-1007
(336) 626-4100
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2013-01628
NC
207YS0123X
Facial Plastic Surgery Physician
25MB08124100
NJ
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
2013-01628
NC
Other
Enumeration date
07/05/2007
Last updated
08/07/2013
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