Organization
EMORY MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD I BRUNN (COO)
(404) 778-4871
Entity
Organization
Contact information
Practice address
1365B CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-4500
(404) 778-5879
Mailing address
PO BOX 116294, ATLANTA, GA 30368-6294
(404) 778-4500
(404) 778-5879
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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