BRANDI B DANIEL

LAGRANGE, GA
NPI1437478948
Former NameBRANDI NICHOLE BENNETT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  005829)
Enumeration Date2010-05-24
Last Update Date2024-04-03
Business Address
BRANDI B DANIEL PA
1551 DOCTORS DRIVE
LAGRANGE, GA 30240-4139
Phone number: 706-803-7450
Mailing Address
BRANDI B DANIEL PA
1551 DOCTORS DRIVE
LAGRANGE, GA 30240-4139
Phone number: 706-803-7450
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