Brandon David Southern, OD
NPI #1942850045 in Fort Stewart, Georgia
Provider Information
- NPI Number
- 1942850045
- Entity Type
- Individual
- Name
- Brandon David Southern, OD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Sep 19, 2019
- Last Updated
- Sep 19, 2019
Practice Location
- Address
- 1061 HARMON AVE
- City
- Fort Stewart
- State
- Georgia
- ZIP Code
- 31314-5641
- Phone
- (912) 435-6965
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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