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Individual

MR. BRANDON RASHAD JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
292 AYLESBURY BLVD, MCDONOUGH, GA 30252-3156
(678) 977-5590
Mailing address
292 AYLESBURY BLVD, MCDONOUGH, GA 30252-3156
(678) 977-5590

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
08/11/2021
Last updated
08/11/2021
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