Provider Demographics
NPI:1730424946
Name:BRANSON, JAMIE (CFA)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:BRANSON
Suffix:
Gender:F
Credentials:CFA
Other - Prefix:
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Mailing Address - Street 1:40 WILLIAMS CIR
Mailing Address - Street 2:
Mailing Address - City:SHARPSBURG
Mailing Address - State:GA
Mailing Address - Zip Code:30277-2314
Mailing Address - Country:US
Mailing Address - Phone:770-985-4257
Mailing Address - Fax:770-985-4258
Practice Address - Street 1:301 MEADOWS DR
Practice Address - Street 2:
Practice Address - City:SENOIA
Practice Address - State:GA
Practice Address - Zip Code:30276-3150
Practice Address - Country:US
Practice Address - Phone:770-985-4257
Practice Address - Fax:770-985-4258
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-29
Last Update Date:2019-03-11
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical