Individual
DR. TIANA BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
100 BLUE MOON XING STE 103, POOLER, GA 31322-9809
(470) 957-1744
Mailing address
100 BLUE MOON XING STE 103, POOLER, GA 31322-9809
(470) 957-1744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010496
GA
111NI0013X
Independent Medical Examiner Chiropractor
CHIR010496
GA
111NP0017X
Pediatric Chiropractor
CHIR010496
GA
111NR0200X
Radiology Chiropractor
CHIR010496
GA
111NR0400X
Rehabilitation Chiropractor
CHIR010496
GA
111NS0005X
Sports Physician Chiropractor
CHIR010496
GA
111NX0800X
Orthopedic Chiropractor
CHIR010496
GA
Other
Enumeration date
08/31/2021
Last updated
06/05/2023
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