IndividualActive
Brandon Mcdaniel, THERAPIST/ST
NPI 1013713056 · Contractor · Tifton, GA
Provider details
- NPI number
- 1013713056
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- THERAPIST/ST
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
75 Massey Rd
Tifton, GA 31793-8322
Phone: (229) 326-8658
Approximate (ZIP-level) locationGet directions
Mailing address
75 Massey Rd
Tifton, GA 31793-8322
Registry dates
- Enumerated
- 2025-02-20
- Last updated
- 2025-02-20
- Certified
- 2025-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.