Individual
TAMMY C BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,PT
Contact information
Practice address
634 TOMMY AARON DR, GAINESVILLE, GA 30506-1504
(770) 503-7337
(770) 503-7337
Mailing address
634 TOMMY AARON DR, GAINESVILLE, GA 30506-1504
(770) 503-7337
(770) 503-7337
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT004791
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00776916A
—
GA
Enumeration date
12/28/2006
Last updated
07/09/2007
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