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Individual

MICHAEL N. BRADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
320 MARGIE DR, WARNER ROBINS, GA 31088-7817
(478) 953-0911
(478) 953-0900
Mailing address
320 MARGIE DR, WARNER ROBINS, GA 31088-7817
(478) 953-0911
(478) 953-0900

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
033534
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000503676C
GA
01
P00329356
MEDICARE RAILROAD #
GA
Enumeration date
05/17/2006
Last updated
05/01/2009
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