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Individual

BRENT J DESHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
664 SCRANTON RD, SUITE 222, BRUNSWICK, GA 31520-1945
(912) 264-2244
Mailing address
664 SCRANTON RD, SUITE 222, BRUNSWICK, GA 31520-1945
(912) 264-2244

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008476
GA

Other

Enumeration date
08/04/2008
Last updated
12/08/2010
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