MEDICARE: MS. MARGARET ANNE DENMON

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	2255A2300X	Athletic Trainer		GA

General Provider Information

NPI Number	:	1578252656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARET ANNE DENMON

Provider Business Mailing Address
First Line	:	112 CHAMPION DR
Second Line	:
City	:	CARROLLTON
State	:	GA
Zip	:	30116-6071
Country	:	US
Telephone Number	:	678-850-0085
Fax Number	:

Provider Business Practice Location Address
First Line	:	1920 HAMILTON RD
Second Line	:
City	:	LAGRANGE
State	:	GA
Zip	:	30241-6000
Country	:	US
Telephone Number	:	706-812-7957
Fax Number	:

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

Provider Enumeration Date	:	05/03/2023
Last Update Date	:	10/30/2025

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