Individual
JOSEPH J BRAINTWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1121 JOHNSON FERRY RD, SUITE 100, MARIETTA, GA 30068-5425
(770) 509-1025
Mailing address
3525 PIEDMONT RD NE, BLDG 7-601, ATLANTA, GA 30305-1578
(770) 509-1025
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
016879
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00133977C
—
GA
Enumeration date
06/03/2006
Last updated
08/21/2013
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