Individual
DR. MICHAEL BRUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 WHITCHER ST NE STE 350, MARIETTA, GA 30060-1129
(770) 424-6893
(770) 528-9938
Mailing address
55 WHITCHER ST NE STE 350, MARIETTA, GA 30060-1129
(770) 424-6893
(770) 528-9938
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD15308
RI
207RC0000X
Cardiovascular Disease Physician
Primary
85089
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2013
Last updated
07/21/2022
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