| Doctor Name: | DR. BRIAN M PALMER |
| NPI Number: | 1013245372 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 035968 |
| Business Practice Address: | 445 Winn Way Room # 124 Decatur, GA - 300301707 |
| Business Phone Number: | 4045087881 |
| Business Fax Number: | |
| Mailing Address: | 445 Winn Way, Room # 124 DECATUR |
| State: | GA |
| Postal Code: | 300301707 |
| Phone Number: | 4045087881 |
| Fax Number: | |
| NPI Enumeration Date: | 11/25/2009 |
| NPI Last Update Date: | 08/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 035968 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |