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Individual

CARMEN BRIGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
59 EXECUTIVE PARK S, SUITE 1100, ATLANTA, GA 30329-2208
(404) 778-6330
(404) 778-6370
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(219) 365-6560
(219) 365-6561

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002691
GA

Other

Enumeration date
03/10/2016
Last updated
03/10/2016
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