Brathwaite, Michel

Brathwaite, Michel is an individual health care provider with primary practice located at 3620 Martin Luther King Jr Dr Sw , Atlanta GA 30331-3711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Brathwaite, Michel can be contacted via phone (404) 696-7300.

Contact Information

Primary practice address
3620 Martin Luther King Jr Dr Sw Atlanta GA 30331-3711
Phone: (404) 696-7300
Fax: (404) 699-3514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 038694 Georgia

Profile Details

NPI number 1295723492
LBN Legal business name Brathwaite, Michel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Dec 16th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295723492 NPPES
Georgia MEDICAID 000618076M
Georgia MEDICAID 000618076N
Georgia Other 505411
Georgia Other 726082
Georgia MEDICAID 000618076H
Georgia MEDICAID 000618076F
Georgia MEDICAID 000618076K
Georgia Other 110091303
Georgia Other 3120000
Georgia MEDICAID 000618076A
Georgia MEDICAID 000618076C
Georgia Other 506853

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