MEDICARE: DR. JAMES N. BRAWNER III MD, FACP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	009086	GA

General Provider Information

NPI Number	:	1285624528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES N. BRAWNER III MD, FACP

Provider Business Mailing Address
First Line	:	3200 DOWNWOOD CIRCLE
Second Line	:	SUITE 550
City	:	ATLANTA
State	:	GA
Zip	:	30327
Country	:	US
Telephone Number	:	404-351-0205
Fax Number	:	404-350-9823

Provider Business Practice Location Address
First Line	:	3200 DOWNWOOD CIR NW
Second Line	:	SUITE 550
City	:	ATLANTA
State	:	GA
Zip	:	30327-1610
Country	:	US
Telephone Number	:	404-351-5349
Fax Number	:	404-351-4187

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	06/29/2010

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