Individual provider · Type 1 NPI

Brandon David Muckley

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1396204699 Active

Practice location

49 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3049

Call (404) 778-7777 Map

Mailing address

830 Gardenbrook Cir Apt H
Indianapolis, IN 46202-4657

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396204699

Brandon David Muckley's National Provider Identifier is 1396204699, issued on Mar 16, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Mar 16, 2019.