Myrick, Brannon
Myrick, Brannon is an individual health care provider with primary practice located at 2500 N. State St Department Of Oral-Maxillofacial Surgery And Pathology, Jackson MS 39216-4505. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Myrick, Brannon can be contacted via phone (601) 984-6090.Contact Information
Primary practice address
2500 N. State St Department Of Oral-Maxillofacial Surgery And Pathology
Jackson MS 39216-4505
Phone: (601) 984-6090
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 10273 | South Carolina |
Profile Details
NPI number | 1700230083 |
---|---|
LBN Legal business name | Myrick, Brannon |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 22nd, 2016 |
Last updated | Oct 2nd, 2023 - about last year |
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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