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1780658963
LARRY A BRANNAM
ATLANTA, GA
NPI
1780658963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 041268)
Enumeration Date
2006-02-15
Last Update Date
2008-11-08
Business Address
-- LARRY A BRANNAM MD
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342-1606
Phone number: 404-851-6936
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Mailing Address
-- LARRY A BRANNAM MD
PO BOX 2968
KENNESAW, GA 30156-9117
Phone number: 770-779-0015
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