Individual
BRANDON DA'QUAN JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 AVENUE ST, MCDONOUGH, GA 30253-7635
(803) 671-5899
Mailing address
1011 AVENUE ST, MCDONOUGH, GA 30253-7635
(803) 671-5899
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
SC
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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