Brannen, Alfred Lynne

Brannen, Alfred Lynne is an individual health care provider with primary practice located at 1301 Broad St , Augusta GA 30901-1055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Brannen, Alfred Lynne can be contacted via phone (706) 922-5864.

Contact Information

Primary practice address
1301 Broad St Augusta GA 30901-1055
Fax: (706) 922-5819
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 030584 Georgia

Profile Details

NPI number 1902821135
LBN Legal business name Brannen, Alfred Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Feb 27th, 2014 - about 12 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 1902821135 NPPES
Georgia MEDICAID 000382764E

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