Individual
BRANDY LYNN MURRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4120 LOCH LAUREL RD, LAKE PARK, GA 31636-2930
(229) 375-6815
Mailing address
4120 LOCH LAUREL RD, LAKE PARK, GA 31636-2930
(229) 375-6815
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN073687
GA
164W00000X
Licensed Practical Nurse
PN.155132 MEDS
OH
Other
Enumeration date
02/12/2014
Last updated
01/21/2015
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