Provider Demographics
NPI:1417527292
Name:BRAGA, IULIANA (DR, PNP)
Entity Type:Individual
Prefix:DR
First Name:IULIANA
Middle Name:
Last Name:BRAGA
Suffix:
Gender:F
Credentials:DR, PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 PERIMETER CTR E STE 200
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30346-1903
Mailing Address - Country:US
Mailing Address - Phone:770-871-3734
Mailing Address - Fax:
Practice Address - Street 1:41 PERIMETER CTR E STE 200
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30346-1903
Practice Address - Country:US
Practice Address - Phone:770-871-3734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA302311363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics