Individual
GEORGE C BRANCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 S SHIRLINGTON RD STE 1100, ARLINGTON, VA 22206-3605
(703) 769-8450
(703) 271-9451
Mailing address
2800 S SHIRLINGTON RD STE 1000, ARLINGTON, VA 22206-3614
(703) 769-8450
(703) 271-9451
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101041029
VA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0101041029
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013
CIGNA
VA
01
—
053885
ANTHEM
VA
01
—
0736883
AETNA HMO
—
01
—
108242
AMERIGROUP
—
01
—
200039700
RAILROAD MEDICARE
—
01
—
212635
MAMSI
—
01
—
2509-0024
CAREFIRST ID#
—
01
—
4051008
AETNA PPO
—
Enumeration date
03/14/2006
Last updated
03/24/2023
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