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1760434328
BRANT S VINCENT
MARIETTA, GA
NPI
1760434328
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: GA 051098)
Enumeration Date
2006-05-16
Last Update Date
2016-05-10
Business Address
-- BRANT S VINCENT MD
790 CHURCH ST NE STE 400
MARIETTA, GA 30060-7282
Phone number: 770-952-8899
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Mailing Address
-- BRANT S VINCENT MD
PO BOX 3157
INDIANAPOLIS, IN 46206-3157
Phone number: 770-952-8899
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