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NPI Code Detail

MEDICARE: DR. BREANNE DICE HUNLEY D.O.

MEDICARE: DR. BREANNE DICE HUNLEY D.O.
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
1207Q00000XFamily Medicine Physician101632GA

General Provider Information

NPI Number : 1326475336
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BREANNE DICE HUNLEY D.O.
Provider Business Mailing Address
First Line : 4700 BATTLEFIELD PKWY STE 200
Second Line :
City : RINGGOLD
State : GA
Zip : 30736-5168
Country : US
Telephone Number : 706-861-4990
Fax Number :
Provider Business Practice Location Address
First Line : 4700 BATTLEFIELD PKWY STE 200
Second Line :
City : RINGGOLD
State : GA
Zip : 30736-5168
Country : US
Telephone Number : 706-861-4990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2013
Last Update Date : 09/22/2024

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