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1053801860
BRANDON HALL
VALDOSTA, GA
NPI
1053801860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 227503)
Enumeration Date
2018-05-16
Last Update Date
2021-06-16
Business Address
BRANDON HALL NP
3200 N ASHLEY ST STE C
VALDOSTA, GA 31602-5911
Phone number: 229-671-9100
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Mailing Address
BRANDON HALL NP
903 WARD ST W STE A
DOUGLAS, GA 31533-3536
Phone number: 912-260-1191
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