Individual
BRANDON HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
977 CLEGHORN VALLEY RD, MARION, VA 24354-6076
(276) 780-6792
Mailing address
977 CLEGHORN VALLEY RD, MARION, VA 24354-6076
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001270927
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024189222
VA
Other
Enumeration date
06/29/2023
Last updated
02/08/2024
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