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Contact Information

TIAGO P BRUNIERA, PA-C
1199 PRINCE AVE FL 2
ATHENS, GA30606
 Phone: 706-475-1700
 Fax: 706-475-1790
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TIAGO P BRUNIERA · (Male)

NPI Number 1164858650
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/17/2013
Last updated 07/12/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 007644
Hospital affiliation(s)
  • ATHENS REGIONAL MEDICAL CENTER - (Acute Care)
    1199 PRINCE AVENUE
    ATHENS, GA 30606
  • ST MARY'S HOSPITAL - (Acute Care)
    1230 BAXTER STREET
    ATHENS, GA 30606
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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