Individual
ROBERT BRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
20 FAIRWAY OAKS, WAVERLY, GA 31565-2767
(912) 266-0006
Mailing address
20 FAIRWAY OAKS, WAVERLY, GA 31565-2767
(912) 266-0006
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN222263
GA
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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