Provider Demographics
NPI:1609175272
Name:SEAGLE, BRANDON-LUKE LABRON (MD)
Entity Type:Individual
Prefix:MR
First Name:BRANDON-LUKE
Middle Name:LABRON
Last Name:SEAGLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 PLANTATION RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-5283
Mailing Address - Country:US
Mailing Address - Phone:229-474-6933
Mailing Address - Fax:
Practice Address - Street 1:100 PLANTATION RIDGE DR
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-5283
Practice Address - Country:US
Practice Address - Phone:229-474-6933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA081091207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology