DR. Darrell Lawrence Brautigam, O.D.

NPI #1467454272 in Morrow, Georgia

Provider Information

NPI Number: 1467454272
Entity Type: Individual
Name: DR. Darrell Lawrence Brautigam, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 11, 2005
Last Updated: May 18, 2009

Practice Location

Address: 7175 JONESBORO RD
City: Morrow
State: Georgia
ZIP Code: 30260-2943
Phone: (770) 961-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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