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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174645725
—
GA
05
—
1225346299
—
GA
05
—
1407055692
—
GA
05
—
1679639355
—
GA
05
—
1770653297
—
GA
05
—
1811019326
—
GA
Enumeration date
10/22/2012
Last updated
03/25/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us