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MRS. ANDREA FANT BRANCH MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1841494333

Individual Registrant:
MRS. ANDREA FANT BRANCH MD
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

Contact information for business:
516 QUINTARD AVE STE B  ANNISTON, AL 36201-5712 US
Tel: 256-741-9799  Fax: 256-741-9795

Registration Information:
NPI: 1841494333
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
AL30302

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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