| Doctor Name: | MRS. MARGARET LUCINDA BRANTLEY |
| NPI Number: | 1013096015 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ATC |
| License Number: | AT000836 |
| Business Practice Address: | 100 West College Park Drive Douglas, GA - 31533 |
| Business Phone Number: | 9123894250 |
| Business Fax Number: | |
| Mailing Address: | 22 Miss Tillie Lane, PEARSON |
| State: | GA |
| Postal Code: | 316424856 |
| Phone Number: | 9123817857 |
| Fax Number: | |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | AT000836 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |