SearchGeorgia101YM0800X

Iyea Brandy

NPI 1417578071 · on the registry since 2020 · sole proprietor

Practice

Address
1903 Phoenix Blvd
College Park, GA 30349
Phone
(404) 821-5259
Organisation at this address
Polaris Spine & Neurosurgery Center Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YP2500X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia