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NPI Code Detail

MEDICARE: BRANDY MACLEAN PA-C

MEDICARE: BRANDY MACLEAN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant4420TN

General Provider Information

NPI Number : 1326629783
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDY MACLEAN PA-C
Provider Business Mailing Address
First Line : 519 ENON SPRINGS RD E
Second Line :
City : SMYRNA
State : TN
Zip : 37167-4446
Country : US
Telephone Number : 615-223-6200
Fax Number : 615-223-6100
Provider Business Practice Location Address
First Line : 519 ENON SPRINGS RD E
Second Line :
City : SMYRNA
State : TN
Zip : 37167-4446
Country : US
Telephone Number : 615-223-6200
Fax Number : 615-223-6100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2021
Last Update Date : 12/27/2024

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Directions to “ BRANDY MACLEAN PA-C” Practice Location

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