Brandon Michael Defeo, DPT | |
1499 Fair Rd, Statesboro, GA 30458-1683 | |
(912) 486-1680 | |
(912) 486-1680 |
Full Name | Brandon Michael Defeo |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 1499 Fair Rd, Statesboro, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124331871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | PT010013 (Georgia) | Primary |
Mailing Address | Practice Location Address |
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Brandon Michael Defeo, DPT 128 Stonebrook Way, Statesboro, GA 30458-0286 Ph: (912) 515-5821 | Brandon Michael Defeo, DPT 1499 Fair Rd, Statesboro, GA 30458-1683 Ph: (912) 486-1680 |
Miss Brandy Anne Petty, M.S., ATC, LAT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: Georgia Southern University Hanner Fieldhouse, Herty Drive, Statesboro, GA 30460 Phone: 912-486-7581 Fax: 912-486-7690 |