SearchGeorgia224Z00000X

Brandon Jennings

NPI 1568809770 · on the registry since 2013 · sole proprietor

Practice

Address
2388 Old Mcduffie Rd
Augusta, GA 30906
Phone
(706) 833-7503

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-05-29

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