Individual
BRANDI CROWE HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
(901) 685-2969
Mailing address
7714 POPLAR AVE., SUITE 200, ATTN: CREDENTIALING, GERMANTOWN, TN 38138
(901) 683-0055
(901) 922-6722
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1063
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06107763
—
MS
05
—
1509910
—
TN
Enumeration date
01/13/2006
Last updated
08/18/2021
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