Branch, Clinton Emmitt

Branch, Clinton Emmitt is an individual health care provider with primary practice located at 1240 Jesse Jewell Pkwy Se Suite 400, Gainesville GA 30501-3862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Branch, Clinton Emmitt can be contacted via phone (770) 534-1117.

Contact Information

Primary practice address
1240 Jesse Jewell Pkwy Se Suite 400 Gainesville GA 30501-3862
Phone: (770) 534-1117
Fax: (770) 503-7285
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 016878 Georgia

Profile Details

NPI number 1184739435
LBN Legal business name Branch, Clinton Emmitt
Credentials M.D., F.A.A.N.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184739435 NPPES
Georgia MEDICAID 000178637F
Georgia Other 13DDMF
Georgia Other 016878

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