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Individual

BRANDON PENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., M.B.A.

Contact information

Practice address
531 ASBURY CIR, SUITE N340, ATLANTA, GA 30322-1006
(404) 778-5975
Mailing address
531 ASBURY CIR, SUITE N340, ATLANTA, GA 30322-1006

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
073784
GA

Other

Enumeration date
04/10/2012
Last updated
10/14/2015
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