MR. Brandon Blakely Bisso, NP

NPI #1306401260 in Lagrange, Georgia

Provider Information

NPI Number
1306401260
Entity Type
Individual
Name
MR. Brandon Blakely Bisso, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
May 7, 2019
Last Updated
May 7, 2019

Practice Location

Address
1514 VERNON RD
State
Georgia
ZIP Code
30240-4131
Phone
(706) 882-1411

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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