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NPI Code Detail

MEDICARE: BRANDI SCHOBER ANDERSON A.T.,C.

MEDICARE:   BRANDI SCHOBER ANDERSON  A.T.,C.
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
12255A2300XAthletic TrainerVA

General Provider Information

NPI Number : 1962478065
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDI SCHOBER ANDERSON A.T.,C.
Provider Business Mailing Address
First Line : 1764 MILL WOOD WAY
Second Line :
City : SUFFOLK
State : VA
Zip : 23434-2338
Country : US
Telephone Number : 757-934-7976
Fax Number : 757-539-0704
Provider Business Practice Location Address
First Line : 2007 MEADE PKWY
Second Line :
City : SUFFOLK
State : VA
Zip : 23434-4259
Country : US
Telephone Number : 757-539-6300
Fax Number : 757-539-0704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 07/08/2007

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Directions to “ BRANDI SCHOBER ANDERSON A.T.,C.” Practice Location

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