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Individual
BRENT C. BIRELY
Active
Individual
BRENT C. BIRELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
D0036028
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA3208 240007648
RAILROAD MEDICARE
GA
01
—
E681 0001
CAREFIRST
DC
Enumeration date
06/29/2006
Last updated
03/24/2008
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