Mary Elizabeth Branch, MS, ATC
Individual provider Active NPI Athletic Trainer · Kingsland, GA
NPI 1679500615 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679500615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1300 Middle School Rd
Kingsland, GA 31548-6208 - Phone
- (912) 729-3113
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | GA | Yes |
Addresses
Primary practice location
1300 Middle School Rd
Kingsland, GA 31548-6208
Mailing address
13 Deals Cir S
Woodbine, GA 31569-2827
Phone (912) 673-9454
Other providers in Kingsland, GA
- Leslie Elizabeth Blalock
- Katie Boeskool
- Lindsay Bottoms
- Erica M Boyd
- Melanie Sue Bracewell
- Julia Louise Brand
- Rachel Dawn Browning-Cofield
- C&S Health Assistance LLC
- Cindy Rochelle Cambron
- Camcoast Services Inc
All providers in Kingsland, GA · Athletic Trainer in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.