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Contact Information

GAVIN D BRANSON
8404 BASELINE RD
LITTLE ROCK, AR72209-4339
 Phone: 501-663-0708
 Fax: 501-313-4062
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for GAVIN D BRANSON · (Male)

NPI # 1851981989
Status Active
Credentials
Entity Individual
Enumeration date 01/22/2021
Last updated 01/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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