| NPI | 1417604174 |
|---|---|
| Former Legal Business Name | BRANDON MEDICAL GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | TERRENCE BRANDON Owner 770-743-8036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-03-03 |