Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIAGO POLESELLI BRUNIERA, PA-C
ActiveMR. TIAGO POLESELLI BRUNIERA, PA-C is a Surgical Physician Assistant healthcare provider located in ATHENS, Georgia. NPI 1164858650 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · ATHENS, GA
Registration Details
- NPI Number
- 1164858650
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2013 (12.868828389326 yrs)
- Last Updated
- Jul 12, 2018
- License
-
007644 (GA)
Practice Information
- Address
-
1199 PRINCE AVE FL 2ATHENS, GA, 30606Browse GA providers · Browse ZIP 30606
- Phone
- 7064751700
- Fax
- 7064751790
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in ATHENS, GA
| Name | Credential | NPI |
|---|---|---|
| JOSEPH KILZI | PA | 1801878137 |
| JONATHAN LEE NIX | PA | 1811087299 |
| LISA BARTLOW | — | 1053776732 |
| CAROLINE B BATSON | CSFA | 1316450216 |
| CHRISTINA DANIELLE HALE | — | 1538731757 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.