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1922692300
SHELBY BROUGHTON
BROOKHAVEN, GA
NPI
1922692300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-02-25
Last Update Date
2021-02-25
Business Address
SHELBY BROUGHTON ATC, OTC
1968 HAWKS LN NE
BROOKHAVEN, GA 30329-2283
Phone number: 404-778-7137
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Mailing Address
SHELBY BROUGHTON ATC, OTC
8308 DRUID HILLS RESERVE DR NE
ATLANTA, GA 30329-2064
Phone number: 336-602-3115
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