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1811993223
A MATTHEW BRUNNER
STOCKBRIDGE, GA
NPI
1811993223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 003575)
Enumeration Date
2005-06-22
Last Update Date
2008-04-17
Business Address
-- A MATTHEW BRUNNER PA-C
210 VILLAGE CENTER PKWY
STOCKBRIDGE, GA 30281-9044
Phone number: 770-474-5952
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Mailing Address
-- A MATTHEW BRUNNER PA-C
210 VILLAGE CENTER PKWY
STOCKBRIDGE, GA 30281-9044
Phone number: 770-474-5952
Copy
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