Brena Siddall, PA-C

NPI 1790978526 · on the registry since 2007

Practice

Address: 280 E Willow Creek Ln
Mc Rae, GA 31055
Phone: (478) 864-3448
Fax: (478) 864-1288
Organisation at this address: Community Health Care Systems, Inc
Lower Oconee Community Hospital Inc
Lower Oconee Community Hospital, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-08-20

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