Brannon, Carter Dale

Brannon, Carter Dale is an individual health care provider with primary practice located at 62 Industrial Blvd , Villa Rica GA 30180-1545. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Brannon, Carter Dale can be contacted via phone (770) 459-9660.

Contact Information

Primary practice address
62 Industrial Blvd Villa Rica GA 30180-1545
Phone: (770) 459-9660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 011568 Georgia

Profile Details

NPI number 1306136171
LBN Legal business name Brannon, Carter Dale
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2011
Last updated Apr 14th, 2011 - about 14 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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