SearchGeorgia311ZA0620X

Maranda Broughton

NPI 1992427033 · on the registry since 2022 · sole proprietor

Practice

Address
3146 Panther Trl Sw
Atlanta, GA 30311
Phone
(404) 621-7166

Registry record

Primary taxonomy
311ZA0620X
311ZA0620X
Also registered as
310400000X
Sex
Female
Record last updated
2022-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia