Individual
CAMERON MIKELL BRANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
35 DEPOT ST, HARTWELL, GA 30643
(706) 842-2095
(706) 842-2515
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(866) 518-0283
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014193
GA
Other
Enumeration date
07/23/2019
Last updated
03/16/2023
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