Individual
WINDY MICHELLE BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,MS
Contact information
Practice address
1985 HOWELL MILL RD NW, STE. B, ATLANTA, GA 30318-2566
(404) 355-1322
(404) 355-5404
Mailing address
3889 COBB PKWY NW, ACWORTH, GA 30101-4084
(770) 975-1299
(770) 975-1361
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT006876
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT006876
LICENSE #
—
Enumeration date
06/08/2006
Last updated
09/24/2010
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