BRANDON ROBERT MCNICKLE

GOODLETTSVILLE, TN
NPI1053789719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2015-09-10
Last Update Date2023-04-03
Business Address
BRANDON ROBERT MCNICKLE PA-C
201 BLUEBIRD DR
GOODLETTSVILLE, TN 37072-2301
Phone number: 615-859-7546
Mailing Address
BRANDON ROBERT MCNICKLE PA-C
820 SPRINGER DR
LOMBARD, IL 60148-6413
Phone number: 815-744-8554
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