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Individual

MR. DANIEL E MCBRAYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
306 LAUREL ST STE C, BREMEN, GA 30110
(770) 537-1266
(770) 537-1700
Mailing address
306 LAUREL ST STE C, BREMEN, GA 30110
(770) 537-1266
(770) 537-1700

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
GA
207QA0505X
Adult Medicine Physician
Primary
18697
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G036870281
PTAN
Enumeration date
09/27/2006
Last updated
09/05/2018
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