Brand, Theodore

Brand, Theodore is an individual health care provider with primary practice located at 5248 Timber Ridge Rd M, Marietta GA 30068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Brand, Theodore can be contacted via phone (404) 281-5610.

Contact Information

Primary practice address
5248 Timber Ridge Rd M Marietta GA 30068
Phone: (404) 281-5610
Fax: (404) 252-0645
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 28730 Georgia
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 028730 Georgia

Profile Details

NPI number 1790784221
LBN Legal business name Brand, Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790784221 NPPES
Georgia MEDICAID 000325773A

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