Individual
BRADLEY M DUPLANTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
531 ROSELANE ST NW, SUITE 750, MARIETTA, GA 30060-6913
(770) 794-0477
(770) 794-3108
Mailing address
3374 OLD PLANTATION RD NW, ATLANTA, GA 30327-2424
(770) 690-8872
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
031589
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000389991B
—
GA
01
—
050049329
RAILROAD MEDICARE
GA
Enumeration date
02/01/2007
Last updated
09/23/2008
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