Doctor Name: | MR. JAMES HARRISON BRANNON |
NPI Number: | 1114345204 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C.C.P. |
License Number: | |
Business Practice Address: | 2010 Brookwood Medical Ctr Dr Homewood, AL - 352096804 |
Business Phone Number: | 2058771830 |
Business Fax Number: | 2058771802 |
Mailing Address: | 16 Office Park Cir, Suite 4 MOUNTAIN BRK |
State: | AL |
Postal Code: | 352232559 |
Phone Number: | 2054143999 |
Fax Number: | 2054143991 |
NPI Enumeration Date: | 04/04/2014 |
NPI Last Update Date: | 04/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |