Brannon, Audrey Edwards

Brannon, Audrey Edwards is an individual health care provider with primary practice located at 1 Freedom Way 296 U, Augusta GA 30904. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Brannon, Audrey Edwards can be contacted via phone (706) 733-0188.

Contact Information

Primary practice address
1 Freedom Way 296 U Augusta GA 30904
Phone: (706) 733-0188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1629164355
LBN Legal business name Brannon, Audrey Edwards
Credentials RD. LD. MSA, DMIN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 1st, 2015 - about 10 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 1629164355 NPPES
Georgia Other LD002235 GA LICENSURE
Georgia Other 725487 GA LICENSURE

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