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Contact Information

HENRY J BRANER, PHYSICIAN ASSISTANT
16TH STREET BUILDING 13514
YOUTH CHALLANGE ACADEMY
FORT STEWART, GA31315
 Phone: 912-242-6542
 Fax: 912-767-6445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for HENRY J BRANER · (Male)

NPI # 1497866248
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 08/31/2006
Last updated 03/28/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 001989
  • GA Medicaid 100000781A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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