Mrs. Margaret Lucinda Brantley
Sports Medicine Doctor
100 West College Park Drive
Douglas
, Georgia 31533
Mrs. Margaret Lucinda Brantley
Sports Medicine Doctor
100 West College Park Drive
Douglas
, Georgia 31533
(912) 381-7857
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Mrs. Margaret Lucinda Brantley
- 22 Miss Tillie Lane
- Pearson, GA
- Zip : 31642-4856
- Phone : (912) 381-7857
Second Address
- Mrs. Margaret Lucinda Brantley
- 100 West College Park Drive
- Douglas, GA
- Zip : 31533
- Phone : (912) 389-4250
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | AT000836 | GA |
National Provider Identifier
| NPI | 1013096015 |
|---|---|
| Provider Name | Mrs. Margaret Lucinda Brantley |
| First Address | Pearson, GA 31642-4856 |
| Second Address | Douglas, GA 31533 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2006 |
| Last Update Date | 08/07/2007 |
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.