NPI 1013713056

Brandon Guyclay McDaniel, THERAPISTST

Practitioner Contractor Tifton, GA

Practice location

Address: 75 Massey Rd, Tifton, GA 31793-8322
Phone: (229) 326-8658

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1013713056
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2025
Record last updated: 20 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.