Provider Demographics
NPI:1285937185
Name:BRAUND, CAILEN (DC)
Entity type:Individual
Prefix:
First Name:CAILEN
Middle Name:
Last Name:BRAUND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 DELK RD SE STE 700
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-5350
Mailing Address - Country:US
Mailing Address - Phone:678-524-4829
Mailing Address - Fax:
Practice Address - Street 1:63 MAXWELL AVENUE
Practice Address - Street 2:
Practice Address - City:SAINT SIMON
Practice Address - State:GA
Practice Address - Zip Code:31522
Practice Address - Country:US
Practice Address - Phone:678-524-4829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-15
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO08832111N00000X
MI2301009762111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1285937185Medicare Oscar/Certification