Most Relevant Information
Provider Data
| NPI Number: | 1003538661 |
| Provider Name: | BRANDY EDDY |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/12/2022 |
| Last Updated: | 09/12/2022 |
Provider Practice Location
254 GEORGE ST
BECKLEY
WV
258012641
Practice Location Phone/Fax
| Phone: | 3042550620 |
| Fax: |
Provider Mailing Location
3552 HEROLD RD
SUTTON
WV
266016414
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |