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Contact Information

AUDREY E BRANNON, RD. LD. MSA, DMIN
1 FREEDOM WAY
296 U
AUGUSTA, GA30904
 Phone: 706-733-0188
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for AUDREY E BRANNON · (Female)

NPI # 1629164355
Status Active
Credentials RD. LD. MSA, DMIN
Entity Individual
Enumeration date 10/04/2006
Last updated 07/01/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • GA Other 725487 CDR, RD REGISTRATION NUM
  • GA Other LD002235 GA LICENSURE
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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