Individual
DR. SALVATORE ADOLFO BRUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 HOSPITAL RD, CANTON, GA 30114
(770) 479-5535
(770) 720-3294
Mailing address
320 HOSPITAL RD, CANTON, GA 30114-2432
(770) 479-5535
(770) 720-3294
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
072703
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003163181A
—
GA
Enumeration date
03/20/2012
Last updated
03/10/2021
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