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1871567966
GWYNNE T BRUNT
ATLANTA, GA
NPI
1871567966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: GA 011292)
Enumeration Date
2006-02-15
Last Update Date
2007-07-08
Business Address
-- GWYNNE T BRUNT MD
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342-1606
Phone number: 404-851-8000
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Mailing Address
-- GWYNNE T BRUNT MD
PO BOX 100015
KENNESAW, GA 30156-9215
Phone number: 770-779-2175
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