IndividualActive
A Brunner, PA-C
NPI 1811993223 · Physician Assistant · Stockbridge, GA
Provider details
- NPI number
- 1811993223
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 003575 (GA)
Practice location
210 Village Center Pkwy
Stockbridge, GA 30281-9044
Phone: (770) 474-5952
Fax: (770) 474-1300
Mailing address
210 Village Center Pkwy
Stockbridge, GA 30281-9044
Registry dates
- Enumerated
- 2005-06-22
- Last updated
- 2026-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.