BRANDY NICHOLS OWENS

LAGRANGE, GA
NPI1619128741
Former NameBRANDY ELIZABETH NICHOLS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  005435)
Enumeration Date2008-10-07
Last Update Date2021-06-28
Business Address
Mrs. BRANDY NICHOLS OWENS PA
1514 VERNON RD
LAGRANGE, GA 30240
Phone number: 706-880-7222
Mailing Address
Mrs. BRANDY NICHOLS OWENS PA
1514 VERNON RD
LAGRANGE, GA 30240-4131
Phone number: 706-880-7222
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