Specialist/Technologist, Athletic Trainer
Mr. SHANNON BRANTLEY P.T, A.T.C.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1609081942 · enumerated 2007-05-11 · record updated 2025-09-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 404, ADRIAN, GA, 31002-0404 Google Maps Apple Maps OpenStreetMap
- Practice location 101 HARRIS INDUSTRIAL BLVD, VIDALIA, GA, 30474-8845 (912) 277-2044 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · License PT 007647 GA
- Specialist/Technologist, Athletic Trainer 2255A2300X · Primary · License AT 001133 GA
In this directory
GA Toombs County Vidalia Specialist/Technologist, Athletic Trainer
Locations and evidence
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Practice location
VIDALIA, GA, 304748845
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.