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Organization

BRAINTRUST LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM CARMONA (EXECUTIVE ASSISTANT)
(404) 967-4164
Entity
Organization

Contact information

Practice address
4751 BEST RD. SUITE 177, COLLEGE PARK, GA 30337
(404) 967-4164
Mailing address
3133 MAPLE DR NE STE 240, ATLANTA, GA 30305-2509

Taxonomy

Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary

Other

Enumeration date
04/28/2025
Last updated
04/28/2025
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