| Doctor Name: | GARREN MARK BRANNON |
| NPI Number: | 1013994433 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RD, LDN |
| License Number: | L002841 |
| Business Practice Address: | 1001 Reynolda Road, Stockton Cottage Branches Holistic Health & Wellness Center Winston-salem, NC - 27103 |
| Business Phone Number: | 3367231011 |
| Business Fax Number: | 3367231411 |
| Mailing Address: | 2899 Navajo Ave, WINSTON-SALEM |
| State: | NC |
| Postal Code: | 271035437 |
| Phone Number: | 3367687408 |
| Fax Number: | |
| NPI Enumeration Date: | 12/28/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | L002841 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |