Individual
KAREN M BRANCEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
101 YORKTOWN, STE 100, FAYETTEVILLE, GA 30214
(770) 460-4075
(770) 460-4319
Mailing address
P.O. BOX 10231, ATLANTA, GA 30368
(770) 460-4075
(770) 460-4319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
006063
GA
207R00000X
Internal Medicine Physician
MA000841L
PA
Other
Enumeration date
02/09/2006
Last updated
05/17/2011
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