Individual
SAMUEL COLE BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2941 POINT MALLARD PKWY SE STE N, DECATUR, AL 35603-5760
(256) 432-2822
Mailing address
2941 POINT MALLARD PKWY SE STE N, DECATUR, AL 35603-5760
(256) 432-2822
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2390
AL
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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