MEDICARE: DR. JAMES PALMER BRANCH D.P.M

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	POD000918	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1346244985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES PALMER BRANCH D.P.M

Provider Business Mailing Address
First Line	:	4705 LAWRENCEVILLE HWY NW
Second Line	:	SUITE C
City	:	LILBURN
State	:	GA
Zip	:	30047-3667
Country	:	US
Telephone Number	:	770-921-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	4705 LAWRENCEVILLE HWY NW
Second Line	:	SUITE C
City	:	LILBURN
State	:	GA
Zip	:	30047-3667
Country	:	US
Telephone Number	:	770-921-8800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	06/27/2011

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