Shelby Broughton, ATC, OTC
NPI #1922692300 in Brookhaven, Georgia
Provider Information
- NPI Number
- 1922692300
- Entity Type
- Individual
- Name
- Shelby Broughton, ATC, OTC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, OTC
- Enumeration Date
- Feb 25, 2021
- Last Updated
- Feb 25, 2021
Practice Location
- Address
- 1968 HAWKS LN NE
- City
- Brookhaven
- State
- Georgia
- ZIP Code
- 30329-2283
- Phone
- (404) 778-7137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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