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Dr. Richard Lyle Brandon, MD
Gynecology Physician in Saint Marys, Georgia
NPI 1588600530

Richard Lyle Brandon is a Gynecology Physician based in Saint Marys, GA and is specialized in Gynecology. Richard Lyle Brandon practices in Saint Marys, GA and has the professional credentials of MD. The NPI Number for Richard Lyle Brandon is 1588600530 and holds a License No. 014890 (Georgia).

The current practice location address for Richard Lyle Brandon is 202 Lakeshore Dr, Saint Marys, GA and can be reached out via phone at 912-673-1771 and via fax at 912-673-1811.

Location: 202 Lakeshore Dr, Saint Marys, GA, 31558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588600530
Provider Name
Richard Lyle Brandon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
202 Lakeshore Dr, Saint Marys, GA, 31558
Phone Number
912-673-1771
Fax Number
912-673-1811
Provider Enumeration Date
06/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00379904A 05 GA
institution
Provider Business Practice Location Address Details
Address
202 Lakeshore Dr
City
Saint Marys
State
Georgia
Zip
31558
Phone Number
912-673-1771
Fax Number
912-673-1811
person
Provider Business Mailing Address Details
Address
202 Lakeshore Dr
City
Saint Marys
State
Georgia
Zip
31558
Phone Number
912-673-1771
Fax Number
912-673-1811
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
014890 (Georgia)
Definition
Definition to come...
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