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1013096015
MARGARET LUCINDA BRANTLEY
DOUGLAS, GA
NPI
1013096015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
204C00000X Neuromusculoskeletal Medicine, Sports Medicine
(Licence: GA AT000836)
Enumeration Date
2006-11-02
Last Update Date
2007-07-08
Business Address
Mrs. MARGARET LUCINDA BRANTLEY ATC
100 WEST COLLEGE PARK DRIVE
DOUGLAS, GA 31533
Phone number: 912-389-4250
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Mailing Address
Mrs. MARGARET LUCINDA BRANTLEY ATC
22 MISS TILLIE LANE
PEARSON, GA 31642-4856
Phone number: 912-381-7857
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