Individual
BRENNA CAFEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 EAST HOSPITAL ROAD, FT GORDON, GA 30905
(706) 787-1647
Mailing address
2620 WHITTIER PL, HEPHZIBAH, GA 30815-6121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021048122
MO
390200000X
Student in an Organized Health Care Education/Training Program
2021048122
MO
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/28/2020
Last updated
07/12/2023
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