SearchGeorgia363A00000X

Brandon West, PA

NPI 1871598425 · on the registry since 2005

Practice

Address
1668 Mulkey Rd Ste 164
Austell, GA 30106
Phone
(770) 948-3233
Fax
(770) 944-1537
Organisation at this address
Ambrosia Functional Medicine Llc
Peachland Nephrology & Hypertension,Pc
Calm Cove Psychiatry And Wellness, Llc
Nsh Cancer Institute Professional Services G Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-17

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