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Deidre Brantley

NPI 1902564248 · on the registry since 2021 · sole proprietor

Practice

Address
209 Habitat St
Americus, GA 31709
Phone
(229) 591-0465
Clinicians at this address
23

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-03

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