Individual
MRS. MARGARET LUCINDA BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 WEST COLLEGE PARK DRIVE, DOUGLAS, GA 31533
(912) 389-4250
Mailing address
22 MISS TILLIE LANE, PEARSON, GA 31642-4856
(912) 381-7857
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
AT000836
GA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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