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MRS. ANDREA FANT BRANCH MD
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1841494333
Individual Registrant:MRS. ANDREA FANT BRANCH MD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
516 QUINTARD AVE STE B ANNISTON, AL 36201-5712 US
Tel: 256-741-9799 Fax: 256-741-9795
Tel: 256-741-9799 Fax: 256-741-9795
Contact information for business:
516 QUINTARD AVE STE B ANNISTON, AL 36201-5712 US
Tel: 256-741-9799 Fax: 256-741-9795
Tel: 256-741-9799 Fax: 256-741-9795
Registration Information:
NPI: 1841494333
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | AL | 30302 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
