Individual
MR. MICHAEL JIM BRANNON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 ROYAL DRIVE, COCHRAN, GA 31014
(478) 934-6258
Mailing address
PO BOX 804, COCHRAN, GA 31014-0804
(478) 290-7802
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000321
GA
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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