Individual
JENNIFER MICHELLE BROUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(877) 354-1821
Mailing address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(877) 354-1821
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
88064
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2018
Last updated
06/26/2021
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