TIAGO POLESELLI BRUNIERA

ATHENS, GA
NPI1164858650
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  007644)
Enumeration Date2013-09-17
Last Update Date2018-07-12
Business Address
Mr. TIAGO POLESELLI BRUNIERA PA-C
1199 PRINCE AVE FL 2
ATHENS, GA 30606
Phone number: 706-475-1700
Mailing Address
Mr. TIAGO POLESELLI BRUNIERA PA-C
2727 PACES FERRY ROAD SE SUITE 1-1100 (ATTN: DENISE)
ATLANTA, GA 30339
Phone number: 470-271-3421