Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 85508 | GA |
NPI | 1023433695 |
---|---|
Provider Name | Dr. Brandon Naylor |
First Address | Toledo, OH 43608-2603 |
Second Address | Cumming, GA 30041-6081 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2014 |
Last Update Date | 17/06/2020 |