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Individual

JODY MARIE BAHNMILLER-BRASIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3575 BRASELTON HWY, DACULA, GA 30019-1027
(770) 848-5300
(770) 848-5301
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
069760
GA

Other

Enumeration date
09/19/2007
Last updated
10/06/2020
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