Brandon Crosby
Individual provider Active NPI Athletic Trainer · Dahlonega, GA
NPI 1992363295 · NPPES record last updated May 31, 2019
Key facts
- NPI
- 1992363295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 82 College LN
Dahlonega, GA 30533 - Phone
- (706) 864-1543
- NPI assigned
- May 31, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
82 College LN
Dahlonega, GA 30533
Mailing address
4317 Willow Oak Dr
Gainesville, GA 30506-4310
Phone (678) 943-7905
Other providers in Dahlonega, GA
- Jennifer S Cook
- Jessica Leanne Cook
- Charlotte Cornelison
- Sara Cowden
- Lisa Ann Cranwell-Bruce
- Crown Mountain Women'S Health
- Laura Elaine Cupp
- Dahlonega Chiropractic Clinic LLC
- Dahlonega Chiropractic Life Center
- Dahlonega Family Medicine, LLC
All providers in Dahlonega, 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 May 31, 2019. 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.