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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184739435 | NPPES |
Georgia | MEDICAID | 000178637F | |
Georgia | Other | 13DDMF | |
Georgia | Other | 016878 |
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