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NPI Code Detail

MEDICARE: MRS. LINDA G BRANCH C.O.M.F.

MEDICARE: MRS. LINDA G BRANCH C.O.M.F.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225000000XOrthotic FitterNC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073641734
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA G BRANCH C.O.M.F.
Provider Business Mailing Address
First Line : PO BOX 428
Second Line :
City : SKYLAND
State : NC
Zip : 28776-0428
Country : US
Telephone Number : 828-684-1644
Fax Number : 828-684-0648
Provider Business Practice Location Address
First Line : 3845 HENDERSONVILLE RD
Second Line :
City : FLETCHER
State : NC
Zip : 28732-8241
Country : US
Telephone Number : 828-684-1644
Fax Number : 828-684-0648
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 07/08/2007

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