Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDY DODGE, ATC
Active Sole ProprietorBRANDY DODGE, ATC is a Sports Medicine (PM&R) healthcare provider located in COVINGTON, Georgia. NPI 1780006031 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · COVINGTON, GA
Registration Details
- NPI Number
- 1780006031
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 6, 2014 (12.642618970184 yrs)
- Last Updated
- Jan 6, 2014
- License
-
AT002178 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4181 HOSPITAL DR NE STE 204COVINGTON, GA, 300142541Browse GA providers · Browse ZIP 30014
- Phone
- 7707886534
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.