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Individual

MERYL L BRAUNSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3333 JODECO ROAD, SUITE A, MCDONOUGH, GA 30253
(770) 692-4000
(770) 474-8510
Mailing address
3333 JODECO ROAD, SUITE A, MCDONOUGH, GA 30253
(770) 692-4000
(770) 474-8510

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
051757
GA
207RC0000X
Cardiovascular Disease Physician
Primary
051757
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000962684A
GA
05
BB7790810
GA
Enumeration date
06/09/2006
Last updated
02/22/2024
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