Individual
DR. ILENE BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
880 DREWRY ST NE, ATLANTA, GA 30306-3811
(404) 876-4034
Mailing address
880 DREWRY ST NE, ATLANTA, GA 30306-3811
(404) 876-4034
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
051120
GA
Other
Enumeration date
06/12/2006
Last updated
11/03/2014
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