Brannon, James Patrick

Brannon, James Patrick is an individual health care provider with primary practice located at 4904 Timber Ridge Dr Ste 104 , Douglasville GA 30135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brannon, James Patrick can be contacted via phone (770) 942-4822.

Contact Information

Primary practice address
4904 Timber Ridge Dr Ste 104 Douglasville GA 30135
Phone: (770) 942-4822
Fax: (770) 942-5311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 056687 Georgia

Profile Details

NPI number 1598779977
LBN Legal business name Brannon, James Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Oct 22nd, 2019 - about 6 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 1598779977 NPPES
Georgia MEDICAID 503957758A

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