Brunner, A Matthew

Brunner, A Matthew is an individual health care provider with primary practice located at 210 Village Center Pkwy , Stockbridge GA 30281-9044. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Brunner, A Matthew can be contacted via phone (770) 474-5952.

Contact Information

Primary practice address
210 Village Center Pkwy Stockbridge GA 30281-9044
Phone: (770) 474-5952
Fax: (770) 474-1300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 003575 Georgia

Profile Details

NPI number 1811993223
LBN Legal business name Brunner, A Matthew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Apr 17th, 2008 - about 16 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 1811993223 NPPES
Georgia Other 6535 KAISER

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