Lee, Brandi Michelle

Lee, Brandi Michelle is an individual health care provider with primary practice located at 101 Darling Ave , Waycross GA 31501-5219. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Lee, Brandi Michelle can be contacted via phone (912) 584-0047.

Contact Information

Primary practice address
101 Darling Ave Waycross GA 31501-5219
Phone: (912) 584-0047
Fax: (912) 490-1498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT002610 Georgia

Profile Details

NPI number 1326355900
LBN Legal business name Lee, Brandi Michelle
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2010
Last updated Feb 16th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326355900 NPPES
Georgia MEDICAID 003124649A

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