Dodge, Brandy

Dodge, Brandy is an sole proprietor health care provider with primary practice located at 4181 Hospital Dr Ne Ste 204 , Covington GA 30014-2541. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Dodge, Brandy can be contacted via phone (770) 788-6534.

Contact Information

Primary practice address
4181 Hospital Dr Ne Ste 204 Covington GA 30014-2541
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X AT002178 Georgia

Profile Details

NPI number 1780006031
LBN Legal business name Dodge, Brandy
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2014
Last updated Jan 6th, 2014 - about 11 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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