Individual
DR. IAN BRADLEY BRUNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., BCAO
Contact information
Practice address
288 HWY 314, SUITE C, FAYETTEVILLE, GA 30214-1385
(678) 817-4053
(678) 817-4058
Mailing address
288 HWY 314, SUITE C, FAYETTEVILLE, GA 30214-1385
(678) 817-4053
(678) 817-4058
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006553
GA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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