Brandon, Terrence
Brandon, Terrence is an sole proprietor health care provider with primary practice located at 415 Tarpan Ct , Fairburn GA 30213-4800. He recently has only one registered license in Agencies / Home Health, which is considered as his primary health care specialty. Brandon, Terrence can be contacted via phone (770) 892-8332.Contact Information
Primary practice address
415 Tarpan Ct
Fairburn GA 30213-4800
Phone: (770) 892-8332
Fax: (770) 626-3262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 060-R-2073 | Georgia |
Profile Details
| NPI number | 1346705456 |
|---|---|
| LBN Legal business name | Brandon, Terrence |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2019 |
| Last updated | May 17th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346705456 | NPPES |
| Georgia | MEDICAID | 060-R-2073 |
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