Mr Shannon Brantley, PT, ATC is a
Specialist/technologist - Athletic Trainer based in Vidalia, Georgia. Mr Shannon Brantley is licensed to practice in Georgia (license number AT 001133) and his current practice location is
101 Harris Industrial Blvd, Vidalia, Georgia. He can be reached at his office (for appointments etc.) via phone at
(912) 277-2044.
NPI number for Mr Shannon Brantley is 1609081942 and his current mailing address is Po Box 404, Adrian, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609081942.
Healthcare Provider's Profile
Full Name | Mr Shannon Brantley |
---|
Gender | Male |
---|
Speciality | Specialist/technologist - Athletic Trainer |
---|
Location | 101 Harris Industrial Blvd, Vidalia, Georgia |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609081942
- Provider Enumeration Date: 05/11/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Shannon Brantley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609081942 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT 007647 (Georgia) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | AT 001133 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shannon Brantley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Shannon Brantley, PT, ATC Po Box 404, Adrian, GA 31002-0404 Ph: () - | Mr Shannon Brantley, PT, ATC 101 Harris Industrial Blvd, Vidalia, GA 30474-8845 Ph: (912) 277-2044 |
Reviews and Comments