Provider Demographics
NPI:1578252656
Name:DENMON, MARGARET ANNE
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANNE
Last Name:DENMON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:DENMON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:200 ROGERS RD # 113
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-6433
Mailing Address - Country:US
Mailing Address - Phone:678-850-0085
Mailing Address - Fax:
Practice Address - Street 1:200 ROGERS RD # 113
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-6433
Practice Address - Country:US
Practice Address - Phone:678-850-0085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA390200000X, 2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer