Individual
DR. BRENDA DAWNE TELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
770 VILLAGE SQUARE DR, STONE MOUNTAIN, GA 30083-3380
(404) 298-8998
(404) 298-7658
Mailing address
770 VILLAGE SQUARE DR, STONE MOUNTAIN, GA 30083-3380
(404) 298-8998
(404) 298-7658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
050740
GA
207Q00000X
Family Medicine Physician
186725
NY
Other
Enumeration date
08/19/2006
Last updated
02/16/2012
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