Individual
DR. MICHEL BRATHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3620 MARTIN LUTHER KING JR DR SW, ATLANTA, GA 30331-3711
(404) 696-7300
(404) 699-3514
Mailing address
3620 MARTIN LUTHER KING JR DR SW, ATLANTA, GA 30331-3711
(404) 696-7300
(404) 699-3514
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
038694
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000618076A
—
GA
05
—
000618076C
—
GA
05
—
000618076F
—
GA
05
—
000618076H
—
GA
05
—
000618076K
—
GA
05
—
000618076M
—
GA
05
—
000618076N
—
GA
01
—
110091303
RAILROAD MEDICARE
GA
01
—
3120000
UNITED HEALTH CARE
GA
01
—
505411
AETNA
GA
01
—
506853
BCBS
GA
01
—
726082
CIGNA
GA
Enumeration date
10/11/2005
Last updated
12/16/2020
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