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Organization

BRANNON PEDIATRIC SERVICES, INC.

Active
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Organization

BRANNON PEDIATRIC SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TAMMY C BRANNON (DIRECTOR/OWNER)
(770) 503-7337
Entity
Organization

Contact information

Practice address
634 TOMMY AARON DR, GAINESVILLE, GA 30506-1504
(770) 503-7337
Mailing address
634 TOMMY AARON DR, GAINESVILLE, GA 30506-1504
(770) 503-7337

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
GA

Other

Enumeration date
10/22/2012
Last updated
03/25/2014
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