Individual
BRANDON NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
52 HARNAGE RD, LAKELAND, GA 31635-5655
(229) 506-9408
Mailing address
52 HARNAGE RD, LAKELAND, GA 31635-5655
(229) 506-9408
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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