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1275943581
BRANDIS BANNISTER
AUGUSTA, GA
NPI
1275943581
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN185747)
Enumeration Date
2014-05-08
Last Update Date
2021-02-18
Business Address
Mrs. BRANDIS BANNISTER FNP
2467 GOLDEN CAMP RD
AUGUSTA, GA 30906-5515
Phone number: 706-790-4440
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Mailing Address
Mrs. BRANDIS BANNISTER FNP
2467 GOLDEN CAMP RD
AUGUSTA, GA 30906-5515
Phone number: 706-790-4440
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