Individual provider · Type 1 NPI

Brandon Martel Ingram

Student in an Organized Health Care Education/Training Program · Cordova, TN

NPI number 1912027103 Active

Practice location

185 Grigsby Ln, 104
Cordova, TN 38018-4838

Call (901) 756-5658 Map

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 1912027103

Brandon Martel Ingram's National Provider Identifier is 1912027103, issued on Mar 30, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cordova, TN. The record was last updated on Jan 18, 2011.