Individual
BRANDI LEE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
222 GORDON ST, BREMEN, GA 30110-1519
(770) 519-9846
Mailing address
222 GORDON ST, BREMEN, GA 30110-1519
(770) 537-1234
(770) 537-1237
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9421
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861915647
GROUP NPI NUMBER
GA
01
—
9421
LICENSE
GA
Enumeration date
09/16/2019
Last updated
03/20/2025
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