Provider Demographics
NPI:1326475336
Name:HUNLEY, BREANNE DICE (DO)
Entity type:Individual
Prefix:DR
First Name:BREANNE
Middle Name:DICE
Last Name:HUNLEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BREANNE
Other - Middle Name:DICE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4700 BATTLEFIELD PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-5168
Mailing Address - Country:US
Mailing Address - Phone:706-861-4990
Mailing Address - Fax:
Practice Address - Street 1:4700 BATTLEFIELD PKWY STE 200
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-5168
Practice Address - Country:US
Practice Address - Phone:706-861-4990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-04
Last Update Date:2024-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA101632207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine