Individual
MARY ELIZABETH BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1300 MIDDLE SCHOOL RD, KINGSLAND, GA 31548-6208
(912) 729-3113
Mailing address
13 DEALS CIR S, WOODBINE, GA 31569-2827
(912) 673-9454
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
GA
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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