OrganizationActive
American Brain, LLC
NPI 1689096828 · Preferred Provider Organization · Hinesville, GA
Provider details
- NPI number
- 1689096828
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Aderemi Dosunmu, Ceo(912) 877-9111
- License
- 047893 (GA)
Specialties & taxonomies
Managed Care Organizations
Practice location
938 Elma G Miles Pkwy
Hinesville, GA 31313-4515
Phone: (912) 877-9111
Fax: (912) 877-5437
Approximate (ZIP-level) locationGet directions
Mailing address
938 Elma G Miles Pkwy
Hinesville, GA 31313-4515
Registry dates
- Enumerated
- 2014-01-07
- Last updated
- 2014-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.