Brittany Marie Gillenwater
Sports Medicine
4020 Spring Creek Ln
Sandy Springs
, Georgia 30350-3833
Brittany Marie Gillenwater
Sports Medicine
4020 Spring Creek Ln
Sandy Springs
, Georgia 30350-3833
(770) 395-1944
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Brittany Marie Gillenwater
- 4020 Spring Creek Ln
- Sandy Springs, GA
- Zip : 30350-3833
- Phone : (770) 395-1944
Second Address
- Brittany Marie Gillenwater
- 4020 Spring Creek Ln
- Sandy Springs, GA
- Zip : 30350-3833
- Phone : (770) 395-1944
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Is Brittany Marie Gillenwater a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | AT001707 | GA |
| Y | 213ES0000X | Sports Medicine | AT001707 | GA |
National Provider Identifier
| NPI | 1033411343 |
|---|---|
| Provider Name | Brittany Marie Gillenwater |
| First Address | Sandy Springs, GA 30350-3833 |
| Second Address | Sandy Springs, GA 30350-3833 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/11/2010 |
| Last Update Date | 19/11/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.