Provider Demographics
NPI:1508943309
Name:BRAUN, HEIDI MARLIES (MD)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:MARLIES
Last Name:BRAUN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:110 MALLARD DR
Mailing Address - Street 2:SAVANNAH
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-9069
Mailing Address - Country:US
Mailing Address - Phone:912-856-0355
Mailing Address - Fax:912-450-8001
Practice Address - Street 1:114 CANAL ST
Practice Address - Street 2:BLDG. 500
Practice Address - City:POOLER
Practice Address - State:GA
Practice Address - Zip Code:31322-4153
Practice Address - Country:US
Practice Address - Phone:912-450-8000
Practice Address - Fax:912-450-8001
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-10-29
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Provider Licenses
StateLicense IDTaxonomies
GA053677207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH94288Medicare UPIN
GA511I110159Medicare PIN