NPI 1346623964

Brandon Reid Falk

Practitioner Contractor McComb, MS

Practice location

Address: 501 S Locust St, McComb, MS 39648-4336
Phone: (601) 684-8111
Mailing address: 2300 Lincoln Rd APT 68, Hattiesburg, MS 39402-3120

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1346623964
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2015
Record last updated: 1 Jul 2015

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.