Brantley, Shannon

Brantley, Shannon is an individual health care provider with primary practice located at 101 Harris Industrial Blvd , Vidalia GA 30474-8845. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Brantley, Shannon can be contacted via phone (912) 277-2044.

Contact Information

Primary practice address
101 Harris Industrial Blvd Vidalia GA 30474-8845
Phone: (912) 277-2044
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 007647 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT 001133 Georgia

Profile Details

NPI number 1609081942
LBN Legal business name Brantley, Shannon
Credentials P.T, A.T.C.
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Jul 8th, 2007 - about 17 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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