Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | D-0006903-C1 | AL |
Y | 213EG0000X | General Practice | D-0006903-C1 | AL |
NPI | 1003485483 |
---|---|
Provider Name | Dr. Brandon Albritton |
First Address | Auburn, AL 36832-6001 |
Second Address | Auburn, AL 36830-6494 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2021 |
Last Update Date | 21/06/2021 |