| Doctor Name: | MR. HENRY J BRANER |
| NPI Number: | 1497866248 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHYSICIAN ASSISTANT |
| License Number: | 001989 |
| Business Practice Address: | 16th Street Building 13514 Youth Challange Academy Ft Stewart, GA - 31315 |
| Business Phone Number: | 9122426542 |
| Business Fax Number: | 9127676445 |
| Mailing Address: | 603 Pear Orchard Ln, STATESBORO |
| State: | GA |
| Postal Code: | 304586767 |
| Phone Number: | 9124893938 |
| Fax Number: | |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 03/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 001989 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |