Individual
DR. KIMBERLY KAYE BRANDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3331 HAMILTON MILL RD, STE 1100, BUFORD, GA 30519-4096
(770) 271-3500
(770) 271-0805
Mailing address
1762 COUNTRY WOOD DR, HOSCHTON, GA 30548-1791
(301) 330-4265
(301) 977-5101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1144
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
916573
—
MD
Enumeration date
11/29/2006
Last updated
10/31/2013
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