Healthcare Provider Details

I. General information

NPI: 1861311490
Provider Name (Legal Business Name): BRANDY WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5869 COBBLESTONE CREEK CIR
MABLETON GA
30126-2656
US

IV. Provider business mailing address

5869 COBBLESTONE CREEK CIR
MABLETON GA
30126-2656
US

V. Phone/Fax

Practice location:
  • Phone: 678-763-9370
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: