Bruniera, Tiago Poleselli

Bruniera, Tiago Poleselli is an individual health care provider with primary practice located at 1199 Prince Ave Fl 2 , Athens GA 30606. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Bruniera, Tiago Poleselli can be contacted via phone (706) 475-1700.

Contact Information

Primary practice address
1199 Prince Ave Fl 2 Athens GA 30606
Phone: (706) 475-1700
Fax: (706) 475-1790
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 007644 Georgia

Profile Details

NPI number 1164858650
LBN Legal business name Bruniera, Tiago Poleselli
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2013
Last updated Jul 12th, 2018 - about 6 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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