Provider Demographics
NPI:1710207022
Name:HENRY, BRANDON V (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:V
Last Name:HENRY
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:215 WILLIAM PENN PLZ
Mailing Address - Street 2:APT# 1025
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2545
Mailing Address - Country:US
Mailing Address - Phone:202-271-4424
Mailing Address - Fax:
Practice Address - Street 1:1670 CLAIRMONT RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-4004
Practice Address - Country:US
Practice Address - Phone:404-756-1290
Practice Address - Fax:919-681-8856
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2019-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA828062086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery